Individual
ALEXANDRA FONSECA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11925 SW 72ND ST, MIAMI, FL 33183-2709
(305) 374-3569
Mailing address
5850 SW 149TH AVE, MIAMI, FL 33193-2480
(305) 504-1522
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
26-2835121
FL
Other
Enumeration date
08/03/2026
Last updated
08/03/2026
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