Alejandro Alfonso Duque

Individual provider Active NPI Behavior Technician · Lake Worth, FL

NPI 1861265902 · NPPES record last updated Aug 1, 2025

Key facts

NPI
1861265902
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
License
RBT-23-301660 (FL)
Practice address
4990 Clinton Blvd
Lake Worth, FL 33463-2269
Phone
(561) 386-9091
NPI assigned
Oct 31, 2023
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

State licenses

LicenseStateTypeSpecialty
RBT-23-301660FLMDBehavior Technician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-23-301660 FL Yes

Addresses

Primary practice location

4990 Clinton Blvd
Lake Worth, FL 33463-2269

Mailing address

4990 Clinton Blvd
Lake Worth, FL 33463-2269
Phone (561) 386-9091

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.