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1518691039
ALEXIS WELLIVER
LAFAYETTE, LA
NPI
1518691039
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: LA L-646)
Enumeration Date
2022-07-11
Last Update Date
2022-07-11
Business Address
ALEXIS WELLIVER
3420 NE EVANGELINE TRWY
LAFAYETTE, LA 70507-2554
Phone number: 337-534-8679
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Mailing Address
ALEXIS WELLIVER
3420 NE EVANGELINE TRWY
LAFAYETTE, LA 70507-2554
Phone number: 337-534-8679
Copy
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