Individual
ALEXIS GUY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2120 21ST CT, JUPITER, FL 33477-9045
(561) 889-6707
Mailing address
2120 21ST CT, JUPITER, FL 33477-9045
(561) 889-6707
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
FL
247200000X
Other Technician
—
—
Other
Enumeration date
07/03/2013
Last updated
10/17/2016
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