Most Relevant Information
Provider Data
NPI Number: | 1003328832 |
Provider Name: | TAYLOR ALEXIS WHITEY |
Entity Type: | Individual |
Taxonomy Code: | 103K00000X |
Specialty: | Behavior Analyst |
License Number: |
Most Important Dates
Enumeration Date: | 11/02/2017 |
Last Updated: | 11/02/2017 |
Provider Practice Location
4575 SE DIXIE HWY
STUART
FL
349976826
Practice Location Phone/Fax
Phone: | 7723248022 |
Fax: |
Provider Mailing Location
9331 FIELDSTONE LN
NAPLES
FL
341205225
Provider Mailing Phone/Fax
Phone: | |
Fax: |