Individual
MRS. ALEXANDRA SHELBY JACOBSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12880 US 301, DADE CITY, FL 33525-5801
(352) 584-2627
Mailing address
17250 PARRISH GROVE RD, DADE CITY, FL 33523-6327
(813) 702-2643
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/10/2025
Last updated
03/10/2025
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