Healthcare Provider Details

I. General information

NPI: 1245724897
Provider Name (Legal Business Name): ALEXIS PRICE BA, BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/18/2018
Last Update Date: 09/08/2025
Certification Date: 09/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 3 MILE RD NW STE 200
GRAND RAPIDS MI
49544-1691
US

IV. Provider business mailing address

600 3 MILE RD NW STE 200
GRAND RAPIDS MI
49544-1691
US

V. Phone/Fax

Practice location:
  • Phone: 855-832-6727
  • Fax: 772-675-9100
Mailing address:
  • Phone: 855-832-6727
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number7401002506
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: