Individual
ALEXIS CRESPO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1805 W 63RD ST, HIALEAH, FL 33012-6027
(786) 704-5732
Mailing address
1805 W 63RD ST, HIALEAH, FL 33012-6027
(786) 704-5732
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
20-118387
FL
Other
Enumeration date
03/14/2022
Last updated
03/14/2022
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