Individual
ALEXIS GOMEZ ALFONSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
17920 NW 74TH CT, HIALEAH, FL 33015-8458
(954) 861-8349
Mailing address
17920 NW 74TH CT, HIALEAH, FL 33015-8458
(954) 861-8349
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
06/08/2013
Last updated
05/22/2020
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