| NPI | 1003476284 |
|---|---|
| Former Name | ALEXIS JORDAN MALONE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2019-06-19 |
| Last Update Date | 2024-08-30 |