Joshua Alexis

Individual provider Active NPI Behavior Technician · Lake Worth, FL

NPI 1689301830 · NPPES record last updated Aug 6, 2022

Key facts

NPI
1689301830
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
6794 Park LN E
Lake Worth, FL 33449-6607
Phone
(561) 542-7795
NPI assigned
Aug 6, 2022
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

6794 Park LN E
Lake Worth, FL 33449-6607

Mailing address

6794 Park LN E
Lake Worth, FL 33449-6607

Other providers in Lake Worth, FL

All providers in Lake Worth, FL · Behavior Technician in Florida

Sources for this page

Verify at the official NPI Registry.