Individual
ALEXIS NICOLE SOFFIAN-TELLEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13195 SW 134TH ST STE 201, MIAMI, FL 33186-4585
(786) 206-6500
Mailing address
7331 SW 63RD CT, SOUTH MIAMI, FL 33143-4820
(786) 390-7060
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/10/2022
Last updated
06/03/2022
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