Individual
ALEC GOBERNA BUSOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4801 S UNIVERSITY DR STE 130, DAVIE, FL 33328-3832
(954) 592-8659
(561) 516-8183
Mailing address
4832 NW 171ST TER, MIAMI GARDENS, FL 33055-4260
(305) 301-0675
(561) 516-8183
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-302477
FL
Other
Enumeration date
11/03/2023
Last updated
11/03/2023
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