Individual
ALEX FORCELLEDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9600 NW 25TH ST STE PH, DORAL, FL 33172-1416
(305) 597-3861
Mailing address
9600 NW 25TH ST STE PH, DORAL, FL 33172-1416
(305) 597-3861
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-20-148481
FL
Other
Enumeration date
10/15/2021
Last updated
10/15/2021
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