Individual
MICHELLE REXACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2901 W SAINT ISABEL ST STE A1, TAMPA, FL 33607-6350
(888) 666-3089
(888) 666-9870
Mailing address
2901 W SAINT ISABEL ST STE A1, TAMPA, FL 33607-6350
(888) 666-3089
(888) 666-9870
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
103TS0200X
School Psychologist
Primary
SS905
FL
Other
Enumeration date
02/10/2012
Last updated
11/01/2019
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