Individual
ALEXIS MEDINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11890 SW 8TH ST STE 309, MIAMI, FL 33184-1710
(305) 220-6060
Mailing address
PO BOX 227326, MIAMI, FL 33222-7326
(786) 663-0811
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-20-134229
FL
Other
Enumeration date
10/21/2020
Last updated
03/13/2026
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