Individual
ALEXIS ABRAHAM TRIANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RBT
Contact information
Practice address
122 ANDROS ST, LEHIGH ACRES, FL 33936-7112
(239) 286-0676
Mailing address
122 ANDROS ST, LEHIGH ACRES, FL 33936-7112
(239) 286-0676
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-208349
FL
Other
Enumeration date
03/23/2022
Last updated
03/23/2022
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