Individual
ALEXANDRA M YACOUBIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
18288 N US HIGHWAY 41, LUTZ, FL 33549-4400
(813) 527-9638
Mailing address
18288 N US HIGHWAY 41, LUTZ, FL 33549-4400
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/30/2018
Last updated
01/30/2018
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