Individual
MR. ALEX CANAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3189 TERRACE CT APT D, PEACHTREE CORNERS, GA 30092-3882
(973) 986-2670
Mailing address
3189 TERRACE CT APT D, PEACHTREE CORNERS, GA 30092-3882
(973) 986-2670
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BACB608119
GA
Other
Enumeration date
03/24/2021
Last updated
03/24/2021
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