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Individual

ALIS PONTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
7108 S KANNER HWY, STUART, FL 34997-7462
(800) 465-3203
Mailing address
16243 SW 47TH CT, MIRAMAR, FL 33027-6301

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
1513735
FL

Other

Enumeration date
07/29/2026
Last updated
07/29/2026
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