NPI 1023702289

Alexis Cannon, RBT

Practitioner Behavior Technician Marion, IN

Practice location

Address: 2513 W 2nd St, Marion, IN 46952-3241
Phone: (765) 662-0490
Fax: (317) 520-8200
Mailing address: 3500 Depauw Blvd STE 3070, Indianapolis, IN 46268-6135

Registered specialties

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X Licence RBT-22-248008 (IN)

Other Behavior Technician providers in Indiana →

Registry record

NPI: 1023702289
Entity type: Individual
Sex (as registered): Female
NPI issued: 8 Jun 2023
Record last updated: 8 Jun 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.