MEDICARE: ALEXIS LYNNE BARRETT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1194669275
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEXIS LYNNE BARRETT

Provider Business Mailing Address
First Line	:	7542 COPPER CREST VW APT 207
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80908-4752
Country	:	US
Telephone Number	:	785-219-7205
Fax Number	:

Provider Business Practice Location Address
First Line	:	7542 COPPER CREST VW APT 207
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80908-4752
Country	:	US
Telephone Number	:	785-219-7205
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/17/2026
Last Update Date	:	04/17/2026

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