Individual
ALEXIS BREWER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
2612 LONG PRAIRIE RD STE B, FLOWER MOUND, TX 75022-4981
(972) 895-2365
Mailing address
16800 DALLAS PKWY STE 200, DALLAS, TX 75248-1961
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
RBT-18-72440
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RBT-18-72440
BACB
TX
Enumeration date
02/10/2019
Last updated
02/10/2019
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