Individual
ALEXIS MARIA TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6714 WINKLER RD, FORT MYERS, FL 33919-7204
(239) 245-8301
Mailing address
507 NW 17TH TER, CAPE CORAL, FL 33993-5137
(239) 877-3296
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-298496
FL
Other
Enumeration date
10/02/2023
Last updated
10/04/2023
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