Individual
ALEXIS VANCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA, LBA-AL, LBA-NY
Contact information
Practice address
260 WEKIVA SPRINGS RD STE 3000, LONGWOOD, FL 32779-5949
(352) 727-8439
Mailing address
4620 N STATE ROAD 7 STE 300, LAUDERDALE LAKES, FL 33319-5867
(352) 727-8439
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
003188-01
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009093700
—
FL
Enumeration date
02/03/2017
Last updated
06/01/2026
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