ALICE JOHANIE MATIAS

SANFORD, FL
NPI1427592146
Former NameALICE JOHANIE MATIAS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy103K00000X Behavior Analyst
(Licence: FL  BACB-1-19-38899)
Enumeration Date2016-12-14
Last Update Date2024-05-23
Business Address
ALICE JOHANIE MATIAS MD
736 BAYWOOD CIR
SANFORD, FL 32773-6206
Phone number: 574-327-0529
Mailing Address
ALICE JOHANIE MATIAS MD
736 BAYWOOD CIR
SANFORD, FL 32773-6206
Phone number: 574-327-0529
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