Individual
GENESIS ALEXIS SILVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10 LONG CREEK LN, RICHMOND HILL, GA 31324-8601
(928) 315-9191
Mailing address
130 CORRIDOR RD UNIT 3929, PONTE VEDRA BEACH, FL 32004-7850
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/16/2021
Last updated
12/16/2021
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