Individual
ALEXIS EDGIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11530 ALLISONVILLE RD, FISHERS, IN 46038-1866
(317) 489-7450
(765) 448-1864
Mailing address
5410 EMERSON WAY, INDIANAPOLIS, IN 46226
(317) 489-7450
(765) 448-1864
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-291305
IN
Other
Enumeration date
01/10/2024
Last updated
02/05/2025
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