Individual
ALEXANDRIA PROPHETE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15 10TH AVE, SHALIMAR, FL 32579-1340
(850) 362-6824
Mailing address
15 10TH AVE, SHALIMAR, FL 32579-1340
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
FL
Other
Enumeration date
01/09/2021
Last updated
08/09/2024
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