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Individual

ALEXIS MONTERREY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RBT

Contact information

Practice address
3802 EHRLICH RD STE 304, TAMPA, FL 33624-2355
(786) 506-4492
Mailing address
7234 W 30TH AVE, HIALEAH, FL 33018-5208
(786) 506-4492

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-20-124957
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
RBT-20-124957
BACB
FL
Enumeration date
03/01/2021
Last updated
03/01/2021
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