Individual
ALEXIS GONZALEZ PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
14624 SW 280TH ST APT 102, HOMESTEAD, FL 33032-8366
(786) 237-9538
Mailing address
14624 SW 280TH ST APT 102, HOMESTEAD, FL 33032-8366
(786) 237-9538
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/17/2022
Last updated
02/17/2022
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