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Individual

ALIEXIS JENNIFER SARAZA BOURZAC

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
102 PARK PLACE BLVD STE C1, KISSIMMEE, FL 34741-2358
(407) 385-0728
Mailing address
1807 WILD RYE WAY, KINDRED, FL 34744-6487
(786) 385-5203

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-388477
FL

Other

Enumeration date
10/29/2024
Last updated
10/29/2024
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