Individual
ALEXCIUS ANTIONETTE BURNS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1264 UPSALA RD, SANFORD, FL 32771-6668
(321) 758-8400
Mailing address
1104 CORNELL DR, SANFORD, FL 32771-4510
(321) 465-0219
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-197637
FL
Other
Enumeration date
02/17/2022
Last updated
01/02/2024
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