Provider Demographics
NPI:1720894256
Name:AREVALO AGUIRRE, ALEXIS CHRISTINE (BA, MS, AND PHD)
Entity type:Individual
Prefix:MRS
First Name:ALEXIS
Middle Name:CHRISTINE
Last Name:AREVALO AGUIRRE
Suffix:
Gender:F
Credentials:BA, MS, AND PHD
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Mailing Address - Street 1:985 WIGWAM PKWY UNIT 7108
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89014-6840
Mailing Address - Country:US
Mailing Address - Phone:725-229-1453
Mailing Address - Fax:
Practice Address - Street 1:8685 S EASTERN AVE
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89123-2839
Practice Address - Country:US
Practice Address - Phone:702-900-7737
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-09
Last Update Date:2025-02-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
225C00000X
NV225400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner
No225C00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Counselor