Individual
ALYSSA ANN FOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10272 S US HIGHWAY 1, PORT ST LUCIE, FL 34952-5615
(772) 872-6940
Mailing address
2149 SE PYRAMID RD, PORT ST LUCIE, FL 34952-5872
(772) 485-1830
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-436891
FL
Other
Enumeration date
05/19/2025
Last updated
05/19/2025
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