Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Alexis Ann Ericsson, MD

Individual provider Behavior Technician · NPI 1265005961

Alexis Ann Ericsson, MD is a Behavior Technician in Boise, Idaho. Works from 2 locations. Licensed in Idaho.

Licensed in
ID
In the registry since
2021
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

777 N Raymond St
Boise, ID 83704-9251
Phone: (208) 514-2500
Fax: (208) 375-2217
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 525 E 4500 S, Salt Lake City, UT 84107-2995 — (801) 905-1153

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 1681609 (ID)
Behavior Technician Taxonomy 106S00000X · Licence RBT-21-151846

Record details

NPI number1265005961
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 20, 2021
Last updated in NPPESApril 24, 2026
Certification dateApril 24, 2026

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