Provider Demographics
NPI:1861087728
Name:HEFLIN, ALEXIS TAYLOR (RBT)
Entity type:Individual
Prefix:
First Name:ALEXIS
Middle Name:TAYLOR
Last Name:HEFLIN
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:10468 INVESTORS PLACE
Mailing Address - Street 2:SUITE B
Mailing Address - City:SPOTSYLVANIA
Mailing Address - State:VA
Mailing Address - Zip Code:22553-1749
Mailing Address - Country:US
Mailing Address - Phone:757-384-3248
Mailing Address - Fax:540-301-8315
Practice Address - Street 1:10468 INVESTORS PLACE
Practice Address - Street 2:SUITE B
Practice Address - City:SPOTSYLVANIA
Practice Address - State:VA
Practice Address - Zip Code:22553-1749
Practice Address - Country:US
Practice Address - Phone:757-384-3248
Practice Address - Fax:540-301-8315
Is Sole Proprietor?:No
Enumeration Date:2021-03-03
Last Update Date:2021-10-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VARBT-21-16905106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician