Individual
ALEXANDRA GRACE PARENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9815 CROSS PINE CT, LAKE WORTH, FL 33467-2367
(561) 223-8076
Mailing address
4302 130TH AVE N, WEST PALM BEACH, FL 33411-8954
(561) 818-2515
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BCBA972524
FL
Other
Enumeration date
11/09/2023
Last updated
11/09/2023
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