Individual
ALEXIS VANCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, BCBA, NYS-LBA
Contact information
Practice address
1366 SAINT JOHNS PL APT 7, BROOKLYN, NY 11213-3818
(352) 727-8439
Mailing address
1366 SAINT JOHNS PL APT 7, BROOKLYN, NY 11213-3818
(352) 727-8439
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
003188-01
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009093700
—
FL
Enumeration date
02/03/2017
Last updated
12/11/2023
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