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Organization

ALPHA INDUSTRIES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TIMOTHEUS TYRUN JENKINS (CEO)
(915) 352-3093
Entity
Organization

Contact information

Practice address
2115 SE HOLLAND STREET, PORT ST. LUCIE, FL 34952
(915) 219-1467
Mailing address
2115 SE HOLLAND STREET, PORT ST. LUCIE, FL 34952
(915) 219-2467

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Enumeration date
01/22/2024
Last updated
01/22/2024
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