Individual
ALEXA FAITH HARRISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
1750 TREE BLVD STE 6, ST AUGUSTINE, FL 32084-5719
(904) 206-7024
Mailing address
1750 TREE BLVD STE 6, ST AUGUSTINE, FL 32084-5719
(904) 206-7024
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-406226
FL
Other
Enumeration date
01/17/2025
Last updated
01/17/2025
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