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Individual

ALEXANDRA SOTOMAYOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RBT

Contact information

Practice address
263 PALM PARK CIR APT 207, LONGWOOD, FL 32779-6083
(407) 416-3200
Mailing address
500 E COLONIAL DR, ORLANDO, FL 32803-4504
(407) 218-4340
(407) 218-4303

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-18-72470
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
022687600
FL
Enumeration date
11/07/2017
Last updated
06/04/2019
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