Individual
ALEXANDER PONCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4039 W 8TH LN, HIALEAH, FL 33012-7217
(786) 660-1589
Mailing address
4039 W 8TH LN, HIALEAH, FL 33012-7217
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
108360000
—
FL
Enumeration date
11/10/2020
Last updated
11/10/2020
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