(800) 868-1923

Most Relevant Information


Provider Data
NPI Number: 1003537630
Provider Name: ALEXSIS CANAAN
Entity Type: Individual
Taxonomy Code: 106S00000X
Specialty: Behavior Technician
License Number:
Most Important Dates
Enumeration Date: 09/12/2022
Last Updated: 09/12/2022
Provider Practice Location
4710 EAGLERIDGE CIR STE 230
PUEBLO
CO
810082176
Practice Location Phone/Fax
Phone: 7195828736
Fax: 7194349767
Provider Mailing Location
4710 EAGLERIDGE CIR STE 230
PUEBLO
CO
810082176
Provider Mailing Phone/Fax
Phone:
Fax: