Individual
ALEXIS BYNUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
617 FRANKLIN AVE UNIT 12, BERLIN, MD 21811-1358
(302) 604-2424
Mailing address
617 FRANKLIN AVE UNIT 12, BERLIN, MD 21811-1358
(302) 604-2424
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-284804
MD
Other
Enumeration date
07/24/2023
Last updated
07/24/2023
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