Individual
ALEXIS ANDIE GEQUILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
996 ROYAL MARCO WAY, MARCO ISLAND, FL 34145-1829
(714) 390-8965
Mailing address
19750 S VERMONT AVE, TORRANCE, CA 90502-1119
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-24-75448
CA
103K00000X
Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
03/16/2021
Last updated
11/19/2024
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