Alexis Koller
NPI #1326701533 in White Bear Lake, Minnesota
Provider Information
- NPI Number
- 1326701533
- Entity Type
- Individual
- Name
- Alexis Koller
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Behavior Technician
- Enumeration Date
- Oct 15, 2021
- Last Updated
- Oct 15, 2021
Practice Location
- Address
- 1011 MEADOWLANDS DR STE 1&2
- City
- White Bear Lake
- State
- Minnesota
- ZIP Code
- 55127-2339
- Phone
- (612) 315-1976
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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