Individual
ALEXIS MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
27570 S DIXIE HWY UNIT 308, NARANJA, FL 33032-8490
(305) 399-6644
Mailing address
27570 S DIXIE HWY UNIT 308, NARANJA, FL 33032-8490
(305) 399-6644
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
M635-000-63-401-0
FL
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/01/2024
Last updated
04/01/2024
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