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Individual

ALEXANDRA JOSE FAJARDO GIL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA

Contact information

Practice address
3030 SW 122ND AVE APT 307, PEMBROKE PINES, FL 33025-5834
(305) 721-4211
Mailing address
3030 SW 122ND AVE APT 307, PEMBROKE PINES, FL 33025-5834
(305) 721-4211

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
12688377
FL
106E00000X
Assistant Behavior Analyst
02011550
FL

Other

Enumeration date
12/01/2016
Last updated
05/04/2026
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