Individual
ALEXANDRA SARAH HERISSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
601 S LAKE DESTINY RD STE 350, MAITLAND, FL 32751-7222
(407) 647-6555
Mailing address
3516 W ROBINSON ST, ORLANDO, FL 32805-2035
(754) 757-9495
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/28/2025
Last updated
04/28/2025
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