Individual
ALEX EVARO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
402B LEGACY PARK, RIDGELAND, MS 39157-4315
(769) 233-7154
Mailing address
402B LEGACY PARK, RIDGELAND, MS 39157-4315
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
200048
MS
Other
Enumeration date
12/10/2021
Last updated
12/10/2021
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