Individual
ALEXANDRA JORI BASCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17815 HUNTING BOW CIR, LUTZ, FL 33558-5401
(813) 491-4425
Mailing address
17815 HUNTING BOW CIR, LUTZ, FL 33558-5401
(813) 491-4425
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/06/2023
Last updated
06/06/2023
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