Individual
ALEXIS NICOLE WIGGINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11103 WEST AVE STE 108, SAN ANTONIO, TX 78213-4915
(210) 340-2627
Mailing address
11103 WEST AVE STE 108, SAN ANTONIO, TX 78213-4915
(210) 340-2627
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/26/2021
Last updated
07/26/2021
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