Alexcis Abbott
Individual provider Active NPI Behavior Technician · St. Paul, IN
NPI 1972249597 · NPPES record last updated May 6, 2022
Key facts
- NPI
- 1972249597
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 202 E Franklin St
St. Paul, IN 47272 - Phone
- (317) 512-0683
- NPI assigned
- May 6, 2022
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
202 E Franklin St
St. Paul, IN 47272
Mailing address
202 E Franklin St
St. Paul, IN 47272
Phone (317) 512-0683
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LOA134038321001 | Other | BLUECROSS BLUESHIELD |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | lexiabbo@gmail.com | Health Information Exchange (HIE) |
Other providers in St. Paul, IN
- Megan Ann Bogemann
- Timothy James Campbell
- Disability and Autism Services of Indiana LLC
- Johnson Memorial Hospital
- True Healthcare Partner LLC
All providers in St. Paul, IN · Behavior Technician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 6, 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.