Individual
ALEXANDER JOSE BRACHO GONZALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
812 MONTGOMERY WAY, DAVENPORT, FL 33897-6315
(689) 253-8870
Mailing address
812 MONTGOMERY WAY, DAVENPORT, FL 33897-6315
(689) 253-8870
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/21/2024
Last updated
08/21/2024
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