Individual
ALEXA FALCON BARRUETA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
19800 NW 5TH AVE, MIAMI GARDENS, FL 33169-3238
(786) 587-2113
Mailing address
19800 NW 5TH AVE, MIAMI GARDENS, FL 33169-3238
(786) 587-2113
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0-24-15292
FL
106S00000X
Behavior Technician
RBT-22-228896
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115425800
—
FL
Enumeration date
09/29/2022
Last updated
06/03/2024
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