Individual
ALEXUS MASINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4817 EHRLICH RD, TAMPA, FL 33624-2037
(877) 823-4283
(352) 332-8589
Mailing address
2035 SW 75TH ST STE B, GAINESVILLE, FL 32607-3425
(877) 823-4283
(352) 332-8589
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/17/2020
Last updated
02/17/2020
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