Individual
MR. ALEXANDER SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW, BCABA
Contact information
Practice address
8910 N DALE MABRY HWY STE 12, TAMPA, FL 33614-1580
(813) 422-0073
(813) 931-4609
Mailing address
8910 N DALE MABRY HWY STE 12, TAMPA, FL 33614-1580
(813) 422-0073
(813) 931-4609
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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