Individual
MS. ALEXA RAE RODGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
13121 ATLANTIC BLVD STE 200, JACKSONVILLE, FL 32225-0102
(904) 491-2111
(904) 512-0613
Mailing address
13121 ATLANTIC BLVD STE 200, JACKSONVILLE, FL 32225-0102
(904) 491-2111
(904) 512-0613
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-20-121495
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RBT-20-121495
BACB
—
Enumeration date
06/04/2020
Last updated
06/12/2020
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