Individual
MRS. ALEXIS ESPERANZA AMY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
QASP-S
Contact information
Practice address
103 RICKEY AVE UNIT C, FORT WALTON BEACH, FL 32547-2520
(850) 376-5624
Mailing address
124 E MIRACLE PKWY, UNIT 503, MARY ESTHER, FL 32569
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/29/2021
Last updated
02/13/2024
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