Individual
MRS. ALEXIS K MASSENGILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BT
Contact information
Practice address
420 MERRIMAC TRL APT 12, WILLIAMSBURG, VA 23185-4859
(757) 670-9360
Mailing address
420 MERRIMAC TRL APT 12, WILLIAMSBURG, VA 23185-4859
(757) 670-9360
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
VA
Other
Enumeration date
05/17/2023
Last updated
05/17/2023
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