Individual
MR. ALEX BONAMY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12724 GRAN BAY PARKWAY WEST, SUITE 410, JACKSONVILLE, FL 32258-9486
(855) 832-6727
Mailing address
7108 S KANNER HWY, STUART, FL 34997-7462
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-433686
FL
Other
Enumeration date
03/17/2025
Last updated
09/28/2025
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