Individual
ALEXANDRA LAUDER PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1408 NW 6TH STREET, GAINESVILLE, FL 32601
(352) 373-4411
(352) 373-4455
Mailing address
1408 NW 6TH STREET, GAINESVILLE, FL 32601
(352) 373-4411
(352) 373-4455
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
222Q00000X
Developmental Therapist
—
—
Other
Enumeration date
09/04/2017
Last updated
07/21/2022
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