Individual
NYLEE ALSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3661 CENTRAL AVE, FORT MYERS, FL 33901-8218
(352) 554-6164
Mailing address
4907 NW 43RD ST, GAINESVILLE, FL 32606-2006
(352) 372-0047
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
RBT24376812
FL
2255A2300X
Athletic Trainer
Primary
RBT24376812
FL
Other
Enumeration date
09/13/2024
Last updated
11/21/2024
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