Individual
ALEXA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
296 S FERDON BLVD, CRESTVIEW, FL 32536-3702
(850) 333-1279
Mailing address
40 STATE HIGHWAY 83, DEFUNIAK SPRINGS, FL 32433-7404
(850) 585-9189
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/16/2024
Last updated
05/16/2024
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