Individual
ALEXA IGNACIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7381 114TH AVE STE 405, LARGO, FL 33773-5131
(727) 258-5088
(727) 491-5379
Mailing address
1616 SUNNYBROOK LN, CLEARWATER, FL 33764-6455
(727) 282-7099
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/05/2021
Last updated
08/05/2021
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