Individual
ALEXANDRA CELESTINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9225 BAY PLAZA BLVD STE 401, TAMPA, FL 33619-4412
(813) 440-4933
Mailing address
9225 BAY PLAZA BLVD STE 401, TAMPA, FL 33619-4412
(813) 440-4933
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W063215635
AETNA
FL
Enumeration date
06/19/2018
Last updated
06/19/2018
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