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Alexis Anderson

Behavior Technician in Port Orange, FL. Individual provider (NPI-1).

NPI number1255828331
StatusActive
Last updated in NPPESApr 15, 2018

Details

NPI
1255828331
Entity type
Individual (NPI-1)
Name
Alexis Anderson
Sex
Female
Sole proprietor
No
Enumeration date
Apr 15, 2018
Last updated
Apr 15, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

823 Dunlawton Ave
Port Orange, FL 32127-4220

Phone 352-332-8588

Mailing address

2035 Sw 75th St Ste B
Gainesville, FL 32607-3425

Phone 352-332-8588

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