Individual
ALECIA IRENE LADD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1320 CULVER DR NE, PALM BAY, FL 32907-1104
(321) 914-4055
Mailing address
1206 JAPONICA LN, COCOA, FL 32922-6744
(603) 867-1619
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BACB1284246
FL
Other
Enumeration date
04/19/2025
Last updated
04/19/2025
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