Individual
ALEXANDRA CORNISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
310 CHENEY HWY, TITUSVILLE, FL 32780-7273
(321) 356-0604
Mailing address
310 CHENEY HWY, TITUSVILLE, FL 32780-7273
(321) 356-0604
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
FL
Other
Enumeration date
08/29/2016
Last updated
08/29/2016
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