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NPI Code Detail

MEDICARE: ALEXIS ROBACZEWSKI

MEDICARE: ALEXIS ROBACZEWSKI
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
1103K00000XBehavior Analyst3975NC

General Provider Information

NPI Number : 1619543543
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXIS ROBACZEWSKI
Provider Business Mailing Address
First Line : 10926 S TRYON ST STE E
Second Line :
City : CHARLOTTE
State : NC
Zip : 28273-4154
Country : US
Telephone Number : 855-201-5498
Fax Number : 888-849-4249
Provider Business Practice Location Address
First Line : 10926 S TRYON ST STE E
Second Line :
City : CHARLOTTE
State : NC
Zip : 28273-4154
Country : US
Telephone Number : 855-201-5498
Fax Number : 888-849-4249
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2021
Last Update Date : 03/03/2026

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Directions to “ ALEXIS ROBACZEWSKI ” Practice Location

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