Most Relevant Information
Provider Data
NPI Number: | 1003580960 |
Provider Name: | ALEXIS JOY HUPPERT RBT |
Entity Type: | Individual |
Taxonomy Code: | 106S00000X |
Specialty: | Behavior Technician |
License Number: | BACB704859 |
Most Important Dates
Enumeration Date: | 08/04/2021 |
Last Updated: | 08/04/2021 |
Provider Practice Location
716 INDIAN TRL STE 140
HARKER HEIGHTS
TX
765485702
Practice Location Phone/Fax
Phone: | 2542132952 |
Fax: |
Provider Mailing Location
2659 W 134TH CIR
BROOMFIELD
CO
800205167
Provider Mailing Phone/Fax
Phone: | 3036818913 |
Fax: |