Individual
ALEXANDRA MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9405 BARNSTEAD LN, PORT RICHEY, FL 34668-4302
(727) 967-2809
Mailing address
791 RINEHART RD, LAKE MARY, FL 32746-4876
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-291294
FL
106S00000X
Behavior Technician
—
—
Other
Enumeration date
06/27/2023
Last updated
10/06/2024
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