Provider Demographics
NPI:1376901652
Name:LAWS, ALEXIS (BCBA, LBA)
Entity Type:Individual
Prefix:MRS
First Name:ALEXIS
Middle Name:
Last Name:LAWS
Suffix:
Gender:F
Credentials:BCBA, LBA
Other - Prefix:
Other - First Name:ALEXIS
Other - Middle Name:
Other - Last Name:EICHELBERGER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BCBA, LBA
Mailing Address - Street 1:26339 WOLFE CREEK DR
Mailing Address - Street 2:
Mailing Address - City:SALISBURY
Mailing Address - State:MD
Mailing Address - Zip Code:21801-8210
Mailing Address - Country:US
Mailing Address - Phone:301-988-7200
Mailing Address - Fax:
Practice Address - Street 1:7175 COLUMBIA GATEWAY DR STE A
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21046
Practice Address - Country:US
Practice Address - Phone:888-344-5977
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-02-02
Last Update Date:2018-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD1-17-27478103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst