MEDICARE: ALXI SUPPORT SERVICES INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103K00000X	Behavior Analyst

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1497103725
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALXI SUPPORT SERVICES INC.

Provider Business Mailing Address
First Line	:	1821 SW 11TH ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33135-5109
Country	:	US
Telephone Number	:	786-991-6306
Fax Number	:	786-310-7322

Provider Business Practice Location Address
First Line	:	1821 SW 11TH ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33135-5109
Country	:	US
Telephone Number	:	786-991-6306
Fax Number	:	786-310-7322

Authorized Official
Title or Position	:	OWNER
Name	:	ALBERTO L. REYES SR.
Credential	:
Telephone Number	:	786-991-6306

Provider Enumeration Date	:	05/26/2016
Last Update Date	:	05/26/2016

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Directions to “ALXI SUPPORT SERVICES INC. ” Practice Location

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