Individual
ALEXANDRA E GINGRAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
721 W LUTZ LAKE FERN RD, LUTZ, FL 33548-4207
(813) 385-6136
Mailing address
721 W LUTZ LAKE FERN RD, LUTZ, FL 33548-4207
(813) 385-6136
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-22-63374
FL
106E00000X
Assistant Behavior Analyst
0-22-13770
FL
106S00000X
Behavior Technician
RBT-20-133089
FL
Other
Enumeration date
09/21/2020
Last updated
02/24/2023
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