Individual
MR. ALEXANDER SMITH
Active
Individual
MR. ALEXANDER SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW, BCABA
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
0-07-2351
FL
1041C0700X
Clinical Social Worker
Primary
SW11223
FL
1041S0200X
School Social Worker
977926
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
766714100
—
FL
Enumeration date
03/10/2013
Last updated
05/02/2014
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