Alexzia R Widermyre
Alexzia R Widermyre is a Behavior Technician in Rockwall, Texas. Practices as a sole proprietor. Licensed in Texas.
- Licensed in
- TX
- In the registry since
- 2020
Practice location Address checks out
911 N Goliad StRockwall, TX 75087-2230
Phone: (469) 458-9021
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X · Licence RBT-12-34567 (TX) |
|---|
Record details
| NPI number | 1346836608 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | December 21, 2020 |
| Last updated in NPPES | December 21, 2020 |
| Certification date | December 21, 2020 |
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