Individual
ALEXANDRA VILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17758 SW 20TH ST, MIRAMAR, FL 33029-5240
(954) 998-9228
Mailing address
17758 SW 20TH ST, MIRAMAR, FL 33029-5240
(954) 998-9228
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
106S00000X
Behavior Technician
RBT-20-117232
FL
Other
Enumeration date
05/04/2020
Last updated
06/17/2024
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