Individual
ALEXIS JAVIER FRAGA SANCHEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6020 W SAMPLE RD APT 103, CORAL SPRINGS, FL 33067-3261
(786) 916-9349
Mailing address
6020 W SAMPLE RD APT 103, CORAL SPRINGS, FL 33067-3261
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-242027
FL
Other
Enumeration date
11/11/2022
Last updated
12/19/2023
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