IndividualActive
Alexis Wall
NPI 1528871506 · Behavior Technician · Draper, UT
Provider details
- NPI number
- 1528871506
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
12222 S 1000 E Ste 3
Draper, UT 84020-3203
Phone: (801) 987-3592
Approximate (ZIP-level) locationGet directions
Mailing address
12222 S 1000 E Ste 3
Draper, UT 84020-3203
Registry dates
- Enumerated
- 2025-01-31
- Last updated
- 2025-01-31
- Certified
- 2025-01-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.