Individual
ALEXANDER MESA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6480 W 12TH LN, HIALEAH, FL 33012-6331
(786) 818-8535
Mailing address
6480 W 12TH LN, HIALEAH, FL 33012-6331
(786) 818-8535
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-446419
FL
Other
Enumeration date
07/28/2025
Last updated
07/28/2025
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