Individual
ALEXIS MICAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
495 GRAND BLVD STE 206, MIRAMAR BEACH, FL 32550-1897
(850) 736-2747
Mailing address
7108 S KANNER HWY, STUART, FL 34997-7462
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-410578
FL
Other
Enumeration date
01/06/2025
Last updated
02/26/2025
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