Provider Demographics
NPI:1053110742
Name:ALVES, ALEXIS IRENE
Entity type:Individual
Prefix:
First Name:ALEXIS
Middle Name:IRENE
Last Name:ALVES
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4417 CORPORATION LN STE 300
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23462-3477
Mailing Address - Country:US
Mailing Address - Phone:757-785-3338
Mailing Address - Fax:855-847-6797
Practice Address - Street 1:4417 CORPORATION LN STE 300
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23462-3477
Practice Address - Country:US
Practice Address - Phone:757-785-3338
Practice Address - Fax:855-847-6797
Is Sole Proprietor?:No
Enumeration Date:2025-03-13
Last Update Date:2025-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician