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Individual

ALEXA LOBO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
15424 SW 17TH ST, MIAMI, FL 33185-5843
(786) 658-7074
Mailing address
15424 SW 17TH ST, MIAMI, FL 33185-5843
(786) 658-7074

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
03/07/2024
Last updated
03/07/2024
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