Most Relevant Information
Provider Data
| NPI Number: | 1003531716 |
| Provider Name: | ALEXANDRIA COLEY RBT |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: | RBT-22-237863 |
Most Important Dates
| Enumeration Date: | 10/05/2022 |
| Last Updated: | 10/05/2022 |
Provider Practice Location
2574 COMMERCE PKWY
NORTH PORT
FL
342899334
Practice Location Phone/Fax
| Phone: | 8003564049 |
| Fax: | 9414850519 |
Provider Mailing Location
PO BOX 631278
CINCINNATI
OH
452631278
Provider Mailing Phone/Fax
| Phone: | 8003564049 |
| Fax: |