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Individual

ALISA JOY FLORES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
342 HIBISCUS DR, LAKE WALES, FL 33898-5352
(863) 270-1745
Mailing address
1413 TECH BLVD STE 122, TAMPA, FL 33619-7822
(813) 305-2867

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
10/17/2023
Last updated
10/17/2023
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