NPI 1417438961 · live from the CMS NPI Registry
Alexis Balek, M.S., BCBA
Behavior Analyst in Cheyenne, WY. National Provider Identifier 1417438961, active.
NPI record
| NPI | 1417438961 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 3120 Old Faithful Rd Ste 100, Cheyenne, WY 82001 |
| Practice phone | 630-863-1149 |
| Enumerated | August 23, 2018 |
| Last updated | January 25, 2021 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst | 103K00000X | — |
| Behavior Analyst primary | 103K00000X | 1-20-46364 (IL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.