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Individual

ALEXANDRA REBECCA THOMAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BCBA

Contact information

Practice address
1919 WEST ST STE 201, ANNAPOLIS, MD 21401-3954
(844) 854-1116
Mailing address
2475 PALM BAY RD NE, PALM BAY, FL 32905-3317

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-26-2829613
FL
106S00000X
Behavior Technician
FL
106S00000X
Behavior Technician
Primary

Other

Enumeration date
02/07/2023
Last updated
08/10/2026
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