Organization
ALBA THERAPY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAIRY ALFONSO MARTINEZ (LEAD ANALYST)
(727) 314-2808
Entity
Organization
Contact information
Practice address
521 PEERLESS CIR, LEHIGH ACRES, FL 33974-9493
(727) 314-2808
Mailing address
521 PEERLESS CIR, LEHIGH ACRES, FL 33974-9493
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115016500
—
FL
Enumeration date
12/19/2022
Last updated
12/20/2022
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