Individual
ALEXANDRA LUIS DE LOS SANTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3325 N UNIVERSITY DR, CORAL SPRINGS, FL 33065-4162
(954) 344-6550
Mailing address
10717 CLEARY BLVD APT 212, PLANTATION, FL 33324-6092
(786) 352-7719
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
2021-03-01
FL
Other
Enumeration date
09/15/2021
Last updated
06/02/2022
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