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Individual

ALEXA TRYON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
12911 N TELECOM PKWY, TEMPLE TERRACE, FL 33637-0907
(813) 553-7880
Mailing address
4210 E FLETCHER AVE APT B-532A, TAMPA, FL 33613-5844

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
07/28/2021
Last updated
07/28/2021
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