Individual
ALEXIS CARBONELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5904 SW 133RD PL, MIAMI, FL 33183-5102
(786) 862-4775
Mailing address
17988 SW 97TH AVE, PALMETTO BAY, FL 33157-5641
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22226844
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11500670
—
FL
Enumeration date
02/01/2023
Last updated
02/01/2023
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