Individual
ALEXANDRA WILD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1708 LEXINGTON GREEN LN, SANFORD, FL 32771-1018
(407) 413-9550
Mailing address
2013 MICCOSUKEE RD, TALLAHASSEE, FL 32308
(407) 873-6462
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
04/10/2013
Last updated
04/10/2013
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