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ALEXIS JORDAN BROCK BCBA

Individual Provider (NPI-1) Active

Behavior Analyst

Provider Information

NPI Number
1053191643
Provider Type
Individual Provider (NPI-1)
Credentials
BCBA
Status
Active

Contact & Location

Address
5522 TAYLOR MILL RD, TAYLOR MILL, KY, 410154604
Phone
(859) 317-5985

Specialties & Taxonomies

Behavior Analyst Primary License: KY #1-23-68563

All Addresses

MAILING

5261 MILLCREEK CIR

INDEPENDENCE, KY, 410518610

(859) 462-5902

LOCATION

5522 TAYLOR MILL RD

TAYLOR MILL, KY, 410154604

(859) 317-5985