Individual
ALEXIS LAINE GROVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
250 E BANK ST APT 118, PETERSBURG, VA 23803-3334
(804) 821-9633
Mailing address
250 E BANK ST APT 118, PETERSBURG, VA 23803-3334
(804) 821-9633
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
VA
Other
Enumeration date
05/14/2026
Last updated
05/14/2026
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