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NPI 1417738428

NPI 1417738428 : LIXANDRA ALONSO GAMEZ : MIAMI, FL

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General NPI Number Information
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    NPI Number           |    1417738428
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    Entity Type          |    Individual 
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    Provider Name        |    LIXANDRA ALONSO GAMEZ
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    10/06/2023
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    Last Update Date     |    12/09/2025
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Provider Practice Location Address
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    Address Line         |    8300 W FLAGLER ST STE 170 
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    City                 |    MIAMI
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    State                |    FL
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    Zip                  |    33144-2098
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    Country              |    US
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    Telephone            |    786-633-5171
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    Fax                  |    786-558-9279
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Provider Business Mailing Address
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    Address Line         |    3040 NW 97TH ST 
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    City                 |    MIAMI
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    State                |    FL
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    Zip                  |    33147-2352
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    Country              |    US
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    Telephone            |    786-821-6332
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    106S00000X
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    Taxonomy Name        |    Behavior Technician
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    License Number       |    RBT-23-301789
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    License Number State |    FL
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Taxonomy #2
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    Taxonomy Code        |    103K00000X
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    Taxonomy Name        |    Behavior Analyst
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    License Number       |    1-25-86386
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    License Number State |    FL
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