Individual
ALEXA FALIYAH GILLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3900 HOLLYWOOD BLVD STE PHE, HOLLYWOOD, FL 33021-6760
(954) 822-4175
Mailing address
937 SW 104TH WAY, PEMBROKE PINES, FL 33025-3580
(754) 231-6989
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-376730
FL
Other
Enumeration date
10/21/2024
Last updated
10/21/2024
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