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Individual

ALEXIS LAWSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1725 ART MUSEUM DR, JACKSONVILLE, FL 32207-2151
(904) 379-6045
Mailing address
1725 ART MUSEUM DR, JACKSONVILLE, FL 32207-2151
(904) 379-6045

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-20-43876
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
017936900
FL
Enumeration date
12/15/2011
Last updated
07/03/2024
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