IndividualActive
Alexzia Widermyre
NPI 1346836608 · Behavior Technician · Rockwall, TX
Provider details
- NPI number
- 1346836608
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- RBT-12-34567 (TX)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
911 N Goliad St
Rockwall, TX 75087-2230
Phone: (469) 458-9021
Approximate (ZIP-level) locationGet directions
Mailing address
911 N Goliad St
Rockwall, TX 75087-2230
Registry dates
- Enumerated
- 2020-12-21
- Last updated
- 2020-12-21
- Certified
- 2020-12-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.