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NPI Code Detail

MEDICARE: ALEXIS HAMP

MEDICARE: ALEXIS HAMP
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
1106S00000XBehavior TechnicianIL

General Provider Information

NPI Number : 1982542403
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXIS HAMP
Provider Business Mailing Address
First Line : 4108 FIELDSTONE RD STE A
Second Line :
City : CHAMPAIGN
State : IL
Zip : 61822-8808
Country : US
Telephone Number : 779-435-0388
Fax Number :
Provider Business Practice Location Address
First Line : 4108 FIELDSTONE RD STE A
Second Line :
City : CHAMPAIGN
State : IL
Zip : 61822-8808
Country : US
Telephone Number : 779-435-0388
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/24/2026
Last Update Date : 03/24/2026

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Directions to “ ALEXIS HAMP ” Practice Location

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