Provider Demographics
NPI:1659955805
Name:BOWER, ALEXIS (MA, BCBA)
Entity type:Individual
Prefix:
First Name:ALEXIS
Middle Name:
Last Name:BOWER
Suffix:
Gender:F
Credentials:MA, BCBA
Other - Prefix:
Other - First Name:ALEXIS
Other - Middle Name:
Other - Last Name:SPECHT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:300 INTERNATIONAL PKWY STE 200
Mailing Address - Street 2:
Mailing Address - City:LAKE MARY
Mailing Address - State:FL
Mailing Address - Zip Code:32746-5028
Mailing Address - Country:US
Mailing Address - Phone:407-915-7729
Mailing Address - Fax:
Practice Address - Street 1:1619 COLLINS RD NW STE 200
Practice Address - Street 2:
Practice Address - City:KENNESAW
Practice Address - State:GA
Practice Address - Zip Code:30152-8236
Practice Address - Country:US
Practice Address - Phone:470-531-0430
Practice Address - Fax:470-408-2550
Is Sole Proprietor?:No
Enumeration Date:2021-05-12
Last Update Date:2025-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst