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NPI Code Detail

MEDICARE: ASHLEY ALEXANDER

MEDICARE: ASHLEY ALEXANDER
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 Analyst0133004182VA
2106S00000XBehavior Technician
3103K00000XBehavior Analyst7401001052MI

General Provider Information

NPI Number : 1497292957
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHLEY ALEXANDER
Provider Business Mailing Address
First Line : 1422 N MCKINLEY RD
Second Line :
City : FLUSHING
State : MI
Zip : 48433-9419
Country : US
Telephone Number : 108-218-8701
Fax Number :
Provider Business Practice Location Address
First Line : 1321 S LINDEN RD STE B
Second Line :
City : FLINT
State : MI
Zip : 48532-3440
Country : US
Telephone Number : 248-221-2399
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/23/2017
Last Update Date : 04/01/2025

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Directions to “ ASHLEY ALEXANDER ” Practice Location

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