Individual
ALEXIS ARDINES BONACHEA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RBT
Contact information
Practice address
151 E 53RD TER, HIALEAH, FL 33013-1457
(786) 317-7363
Mailing address
151 E 53RD TER, HIALEAH, FL 33013-1457
(786) 317-7363
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
CBHT.0100373
FL
106S00000X
Behavior Technician
Primary
RBT-23-300122
FL
171M00000X
Case Manager/Care Coordinator
CBHCM103830
FL
Other
Enumeration date
01/11/2023
Last updated
09/12/2025
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