Individual
MS. ALEXANDRIA HOPE STALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6303 BLUE LAGOON DR STE 400, MIAMI, FL 33126-6040
(855) 953-4592
Mailing address
6303 BLUE LAGOON DR STE 400, MIAMI, FL 33126-6040
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-197453
FL
Other
Enumeration date
12/20/2021
Last updated
12/20/2021
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