Alexsis Canaan

NPI #1003537630 in Pueblo, Colorado

Provider Information

NPI Number: 1003537630
Entity Type: Individual
Name: Alexsis Canaan
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Sep 12, 2022
Last Updated: Sep 12, 2022

Practice Location

Address: 4710 EAGLERIDGE CIR STE 230
City: Pueblo
State: Colorado
ZIP Code: 81008-2176
Phone: (719) 582-8736

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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