Individual
ALEXIS FORTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
435 W OAK ST, KISSIMMEE, FL 34741-6627
(407) 219-0402
Mailing address
5432 BLUEBERRY DR, ORLANDO, FL 32811-2101
(586) 854-7478
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/01/2024
Last updated
11/01/2024
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