Provider Demographics
NPI:1932829272
Name:PAVLOFF, ALEXIS OCTAVIA
Entity type:Individual
Prefix:
First Name:ALEXIS
Middle Name:OCTAVIA
Last Name:PAVLOFF
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 1:117 ILLINOIS RD
Mailing Address - Street 2:
Mailing Address - City:DYESS AFB
Mailing Address - State:TX
Mailing Address - Zip Code:79607-1119
Mailing Address - Country:US
Mailing Address - Phone:830-388-0187
Mailing Address - Fax:
Practice Address - Street 1:3444 N 1ST ST STE 508
Practice Address - Street 2:
Practice Address - City:ABILENE
Practice Address - State:TX
Practice Address - Zip Code:79603-6941
Practice Address - Country:US
Practice Address - Phone:325-268-4052
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-29
Last Update Date:2025-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician