Individual
ALEXXIS DANIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
605 PALENCIA CLUB DR, SAINT AUGUSTINE, FL 32095-6901
(904) 747-2903
Mailing address
605 PALENCIA CLUB DR, SAINT AUGUSTINE, FL 32095-6901
(904) 747-2903
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
FL
Other
Enumeration date
07/17/2026
Last updated
07/17/2026
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