Individual
ALICIA MINGIONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., BCBA
Contact information
Practice address
475 S JOHN RODES BLVD, MELBOURNE, FL 32904-1093
(321) 241-1170
Mailing address
475 S JOHN RODES BLVD, MELBOURNE, FL 32904-1093
(321) 241-1170
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
12/05/2019
Last updated
11/11/2021
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