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NPI Code Detail

MEDICARE: ALEXIS HARBOUR

MEDICARE: ALEXIS HARBOUR
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
1103K00000XBehavior Analyst

General Provider Information

NPI Number : 1942155916
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXIS HARBOUR
Provider Business Mailing Address
First Line : 6416 NW 5TH WAY
Second Line :
City : FORT LAUDERDALE
State : FL
Zip : 33309-6112
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1000 COLOR PL STE 101
Second Line :
City : APOPKA
State : FL
Zip : 32703-7717
Country : US
Telephone Number : 888-754-0398
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/03/2026
Last Update Date : 03/03/2026

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1508504093 — JENNIFER ANN BOCKER
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Directions to “ ALEXIS HARBOUR ” Practice Location

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