Individual
ALEXA GLICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
277 E AMADOR AVE STE 101, LAS CRUCES, NM 88001-3675
(505) 584-2634
(505) 718-3160
Mailing address
5532 BARRANCA OVERLOOK CT NE, RIO RANCHO, NM 87144-2646
(630) 862-4736
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-20-40526
NM
Other
Enumeration date
09/25/2014
Last updated
05/08/2025
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