IndividualActive
Alexa Larson
NPI 1639805989 · Behavior Technician · Moorhead, MN
Provider details
- NPI number
- 1639805989
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
1010 4th St S
Moorhead, MN 56560-3357
Phone: (218) 443-5879
Approximate (ZIP-level) locationGet directions
Mailing address
1010 4th St S
Moorhead, MN 56560-3357
Registry dates
- Enumerated
- 2022-07-28
- Last updated
- 2022-07-28
- Certified
- 2022-07-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.