Individual
ALEXANDRA CHARLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6810 N STATE ROAD 7 STE 129, COCONUT CREEK, FL 33073-4304
(954) 248-1171
Mailing address
5637 PACIFIC BLVD APT 2901, BOCA RATON, FL 33433-6733
(754) 317-2461
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-191703
—
106S00000X
Behavior Technician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RBT-21-191703
RBT CERTIFICATION NUMBER
—
Enumeration date
03/28/2022
Last updated
03/28/2022
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