Alexis Watson
Individual provider Active NPI Behavior Technician · Havre de Grace, MD
NPI 1497330708 · NPPES record last updated Aug 19, 2022
Key facts
- NPI
- 1497330708
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- License
- RBT-22-226127
- Practice address
- 1106 Revolution St
Havre de Grace, MD 21078-3721 - Phone
- (410) 776-4640
- NPI assigned
- Mar 17, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Personalized Alternatives for Learning | Current |
Accepting new patients |
Locations
1106 Revolution St
Hvre de Grace, MD 21078
Phone (410) 776-4640
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-22-226127 | Yes |
Addresses
Primary practice location
1106 Revolution St
Havre de Grace, MD 21078-3721
Mailing address
1106 Revolution St
Havre de Grace, MD 21078-3721
Other providers in Havre de Grace, MD
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- Cheryl Nadine Warner
- Letisha Washington
- Elizabeth Schueller Wasson
- Kimberly Ann Waszkiewicz
- Taylor Dawn Watters
- Alexis Emma Weaver
- Weis Markets Inc
- Audrey Werneke
- West Cecil Health Center Inc.
All providers in Havre de Grace, MD · Behavior Technician in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 19, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.