Individual
MS. ALEXA MARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5621 RIVERSIDE DR APT 101, CORAL SPRINGS, FL 33067-2906
(954) 778-9238
Mailing address
5621 RIVERSIDE DR APT 101, CORAL SPRINGS, FL 33067-2906
(954) 778-9238
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/23/2016
Last updated
12/28/2016
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