Individual
ALEXA SOFIA GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17815 HUNTING BOW CIR, LUTZ, FL 33558-5401
(813) 491-4425
(813) 482-9790
Mailing address
300 INTERNATIONAL PKWY STE 200, LAKE MARY, FL 32746-5028
(866) 610-0580
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/12/2020
Last updated
10/12/2020
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