Individual
ALEXA LYNN LAUREANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3831 W VINE ST STE 52, KISSIMMEE, FL 34741-4650
(407) 584-3319
Mailing address
2740 AMANDA KAY WAY, KISSIMMEE, FL 34744-8512
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/23/2025
Last updated
04/23/2025
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