Individual
ALICE WILLOW BOOTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5540 PARK BLVD N, PINELLAS PARK, FL 33781-3326
(727) 225-1669
Mailing address
5540 PARK BLVD N, PINELLAS PARK, FL 33781-3326
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/15/2025
Last updated
10/30/2025
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