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NPI Code Detail

MEDICARE: ALEXIS SEANA COTTRILL

MEDICARE:   ALEXIS SEANA COTTRILL
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 Technician

General Provider Information

NPI Number : 1912600966
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXIS SEANA COTTRILL
Provider Business Mailing Address
First Line : 1870 MCARTHUR ST
Second Line :
City : SAGINAW
State : MI
Zip : 48638-4517
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3710 KATALIN CT
Second Line :
City : BAY CITY
State : MI
Zip : 48706-2160
Country : US
Telephone Number : 989-324-2012
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/27/2023
Last Update Date : 03/31/2026

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Directions to “ ALEXIS SEANA COTTRILL ” Practice Location

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