Individual
ALEXIS DESANZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6936 MEDICAL VIEW LN, ZEPHYRHILLS, FL 33542-6602
(813) 358-7125
Mailing address
6936 MEDICAL VIEW LN, ZEPHYRHILLS, FL 33542-6602
(813) 358-7125
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-201097
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RBT-22-201097
BACB RBT CERTIFICATION
—
Enumeration date
02/14/2022
Last updated
02/14/2022
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