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Individual

MR. ALEXANDER MORAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2400 S RIDGEWOOD AVE STE 17, SOUTH DAYTONA, FL 32119-3073
(386) 310-7879
Mailing address
2950 E WACO DR, DELTONA, FL 32738-1522
(386) 956-5494

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
FL

Other

Enumeration date
10/07/2025
Last updated
10/07/2025
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