Alexandra Charles

NPI #1194222463 in Venice, Florida

Provider Information

NPI Number: 1194222463
Entity Type: Individual
Name: Alexandra Charles
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Apr 12, 2018
Last Updated: Apr 12, 2018

Practice Location

Address: 417 COMMERCIAL CT STE C
City: Venice
State: Florida
ZIP Code: 34292-1655
Phone: (941) 485-0121

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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