Alexandra Kathleen Weller

Behavior Analyst · Grand Rapids, MI

Individual Active NPI

NPI number 1194173989

Practice location

3361 36TH St SE
Grand Rapids, MI 49512-2809
Phone
(616) 826-4991

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NPI record

NPI
1194173989
Entity type
Individual (Type 1)
Enumeration date
June 2, 2016
Last updated
August 25, 2021
Certified
August 25, 2021
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Analyst Primary 103K00000X 7401000254 MI
Behavior Analyst 103K00000X — —
Behavior Technician 106S00000X — —

Mailing address

854 Joslin St SE
Grand Rapids, MI 49507-3308
Phone
(616) 280-1174

About Alexandra Weller

Alexandra Kathleen Weller is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Analyst (code 103K00000X). The practice location is 3361 36TH St SE, Grand Rapids, MI 49512-2809. The NPI number 1194173989 was assigned on June 2, 2016 and the record was last updated on August 25, 2021.

Alexandra Weller lists a license in the registry: #7401000254 (MI) for Behavior Analyst. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Alexandra Kathleen Weller?

The NPI number is 1194173989.

What is the phone number of Alexandra Weller?

The phone number listed for the practice location is (616) 826-4991.

Where is Alexandra Weller located?

3361 36TH St SE, Grand Rapids, MI 49512-2809.

What is the taxonomy code for Alexandra Weller?

The primary taxonomy code is 103K00000X – Behavior Analyst; 2 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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