Most Relevant Information
Provider Data
| NPI Number: | 1003423831 |
| Provider Name: | ALEXIS COSTA |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/25/2020 |
| Last Updated: | 09/25/2020 |
Provider Practice Location
13700 58TH ST N STE 207
CLEARWATER
FL
337603757
Practice Location Phone/Fax
| Phone: | 8778234283 |
| Fax: | 3523328589 |
Provider Mailing Location
13700 58TH ST N STE 207
CLEARWATER
FL
337603757
Provider Mailing Phone/Fax
| Phone: | 8778234283 |
| Fax: | 3523328589 |