Provider Demographics
NPI:1669334843
Name:CUNNING, ALEXIS MONIQUE
Entity type:Individual
Prefix:
First Name:ALEXIS
Middle Name:MONIQUE
Last Name:CUNNING
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:422 JOHNSON LN
Mailing Address - Street 2:
Mailing Address - City:OVILLA
Mailing Address - State:TX
Mailing Address - Zip Code:75154-1478
Mailing Address - Country:US
Mailing Address - Phone:972-400-6371
Mailing Address - Fax:
Practice Address - Street 1:706 CREEK FOREST CIR
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77380-2282
Practice Address - Country:US
Practice Address - Phone:972-400-6371
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-11-26
Last Update Date:2025-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXRBT-25-422095106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician