Individual
ALEXA WOLGEMUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12501 WORLD PLAZA LN BLDG 51, FORT MYERS, FL 33907-3991
(239) 349-3139
Mailing address
12501 WORLD PLAZA LN BLDG 51, FORT MYERS, FL 33907-3991
(239) 349-3139
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-354048
FL
Other
Enumeration date
06/12/2024
Last updated
06/12/2024
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