Individual
ALEXIS KITCHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
45 CREEKVIEW CT, GREENVILLE, SC 29615-4800
(864) 513-3334
Mailing address
19 SPRING FALLS CT, GREENVILLE, SC 29607-7101
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BACB925326
SC
Other
Enumeration date
06/10/2024
Last updated
06/10/2024
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