Individual
MRS. ALESSANDRA FEOLA DEMOPOULOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
2616 SW UNION TER, PORT ST LUCIE, FL 34953-2982
(772) 215-8679
Mailing address
2616 SW UNION TER, PORT ST LUCIE, FL 34953-2982
(772) 215-8679
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BACB335660
FL
247200000X
Other Technician
D514006886640
FL
Other
Enumeration date
07/23/2016
Last updated
03/18/2024
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