Alexis Trevino

NPI #1720792641 in Vienna, Virginia

Provider Information

NPI Number: 1720792641
Entity Type: Individual
Name: Alexis Trevino
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Jan 6, 2023
Last Updated: Jan 6, 2023

Practice Location

Address: 1964 GALLOWS RD STE 280
City: Vienna
State: Virginia
ZIP Code: 22182-3877
Phone: (571) 553-3456

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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