Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103K00000X | Behavior Analyst | 0-16-7533 |
NPI | 1003336421 |
---|---|
Provider Name | Alexandria Magee |
First Address | Orlando, FL 32803-6226 |
Second Address | Orlando, FL 32803-6226 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/06/2017 |
Last Update Date | 27/06/2017 |