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MR. ALEXIS MONTERREY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
BCBA

Contact information

Practice address
3802 EHRLICH RD STE 304, TAMPA, FL 33624-2355
(561) 592-5290
Mailing address
4606 KILCOYNE CT, LUTZ, FL 33558-8035
(561) 592-5290

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BCBA-1-22-62643
FL
106E00000X
Assistant Behavior Analyst
BCABA-0-17-8438
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
018375100
FL
Enumeration date
06/08/2016
Last updated
04/04/2024
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