Individual
ALEXANDRA MIKAELA MANRESA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, BCBA
Contact information
Practice address
5400 S UNIVERSITY DR STE 502, DAVIE, FL 33328-5313
(888) 754-0398
Mailing address
5400 S UNIVERSITY DR STE 502, DAVIE, FL 33328-5313
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1043724271
FL
106S00000X
Behavior Technician
RBT-18-48841
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100136000
—
FL
Enumeration date
11/27/2017
Last updated
08/07/2022
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