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Individual

ALEXIS DAVID SILVA ESTEFANIA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
25280 SW 119TH AVE # 51, HOMESTEAD, FL 33032-4326
(786) 660-4918
Mailing address
25280 SW 119TH AVE # 51, HOMESTEAD, FL 33032-4326
(786) 660-4918

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BACB1039542
FL

Other

Enumeration date
02/05/2025
Last updated
02/05/2025
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