Individual
ALEXA CAROLINE ZAVALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4124 W 4TH ST APT 1010, HATTIESBURG, MS 39401-5789
(601) 497-5965
Mailing address
4124 W 4TH ST APT 1010, HATTIESBURG, MS 39401-5789
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/06/2023
Last updated
09/06/2023
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