Individual
ALEXA ANN BROSOSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4657 GULF BREEZE PKWY STE C, GULF BREEZE, FL 32563-9166
(850) 307-8811
Mailing address
4657 GULF BREEZE PKWY STE C, GULF BREEZE, FL 32563-9166
(850) 307-8811
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-282210
FL
Other
Enumeration date
07/03/2023
Last updated
07/03/2023
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