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1508465550
ALEXIS MEDINA
MIAMI, FL
NPI
1508465550
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
(Licence: FL RBT-20-134229)
Enumeration Date
2020-10-21
Last Update Date
2020-10-21
Business Address
ALEXIS MEDINA
8785 SW 165TH AVE STE 104
MIAMI, FL 33193-5827
Phone number: 786-206-6500
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Mailing Address
ALEXIS MEDINA
PO BOX 227326
MIAMI, FL 33222-7326
Phone number: 786-663-0811
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