Individual
ALEXIS NEELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
515 PALM COAST PKWY SW, PALM COAST, FL 32137-4739
(407) 256-2080
Mailing address
300 INTERNATIONAL PKWY STE 200, LAKE MARY, FL 32746-5028
(866) 610-0580
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
FL
Other
Enumeration date
06/02/2021
Last updated
06/02/2021
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