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Individual

ALEXANDRIA BOOKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2014 LINCOLNWAY E STE 3, GOSHEN, IN 46526-6818
(239) 920-3948
Mailing address
23756 N SHORE DR, EDWARDSBURG, MI 49112-9524
(850) 603-4990

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-23-63495
103K00000X
Behavior Analyst
Primary
106S00000X
Behavior Technician
RBT-19-1705-178936
FL

Other

Enumeration date
10/25/2019
Last updated
09/24/2024
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