Individual
ALICIA JAYNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
18215 PAULSON DR UNIT A, PORT CHARLOTTE, FL 33954-1025
(813) 720-7529
Mailing address
2048 LARSON ST, ENGLEWOOD, FL 34223-6491
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/23/2024
Last updated
08/23/2024
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