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Individual
ALEXIS MARTINEZ GRILLO
Active
Individual
ALEXIS MARTINEZ GRILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BCBA1-22-60126
FL
106S00000X
Behavior Technician
RBT20116305
FL
224Z00000X
Occupational Therapy Assistant
OTA13870
FL
Other
Enumeration date
09/15/2014
Last updated
08/19/2022
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