Individual
ALEXIS HANA SHAFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2048 LARSON ST, ENGLEWOOD, FL 34223-6491
(813) 720-7529
Mailing address
2627 SHERMAN OAK DR, NORTH PORT, FL 34289-2392
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/09/2025
Last updated
07/09/2025
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