Individual
ALEXIS JESUS OLIVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
850 NW FEDERAL HWY STE 173, STUART, FL 34994-1019
(772) 362-9878
Mailing address
10491 SW 15TH LN APT 212, MIAMI, FL 33174-3802
(305) 927-4411
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/14/2023
Last updated
05/29/2024
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