Provider Demographics
NPI:1184247066
Name:TOUHUNI, ALEXUS MARIE I
Entity type:Individual
Prefix:MISS
First Name:ALEXUS
Middle Name:MARIE
Last Name:TOUHUNI
Suffix:I
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 1:3576 S PARK DALE CT # QT
Mailing Address - Street 2:
Mailing Address - City:WEST VALLEY
Mailing Address - State:UT
Mailing Address - Zip Code:84120-7904
Mailing Address - Country:US
Mailing Address - Phone:801-793-1830
Mailing Address - Fax:801-793-1830
Practice Address - Street 1:3576 S PARK DALE CT # QT
Practice Address - Street 2:
Practice Address - City:WEST VALLEY
Practice Address - State:UT
Practice Address - Zip Code:84120-7904
Practice Address - Country:US
Practice Address - Phone:801-793-1830
Practice Address - Fax:801-793-1830
Is Sole Proprietor?:No
Enumeration Date:2020-05-26
Last Update Date:2020-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT216756585106E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior Analyst