Individual
ALEXICIA SUSANA THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
124 CAPULET DR STE 102, SAINT AUGUSTINE, FL 32092-4538
(904) 429-3859
Mailing address
300 INTERNATIONAL PKWY STE 200, LAKE MARY, FL 32746-5028
(886) 610-0580
(866) 611-1558
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/29/2025
Last updated
12/29/2025
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