Individual
ALEXIS BASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
495 GRAND BLVD STE 206, MIRAMAR BEACH, FL 32550-1897
(855) 832-6727
Mailing address
3448 ESPLANADE DR, PENSACOLA, FL 32506-9427
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/01/2023
Last updated
05/01/2023
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