Smith, Alexander

Smith, Alexander is an sole proprietor health care provider with primary practice located at 8910 N Dale Mabry Hwy Ste 12 , Tampa FL 33614-1580. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Smith, Alexander can be contacted via phone (813) 422-0073.

Contact Information

Primary practice address
8910 N Dale Mabry Hwy Ste 12 Tampa FL 33614-1580
Phone: (813) 422-0073
Fax: (813) 931-4609
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 0-07-2351 Florida
Behavioral Health & Social Service Providers / Clinical 1041C0700X SW11223 Florida
Behavioral Health & Social Service Providers / School 1041S0200X 977926 Florida

Profile Details

NPI number 1114268521
LBN Legal business name Smith, Alexander
Credentials LCSW, BCABA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 10th, 2013
Last updated May 2nd, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114268521 NPPES
Florida MEDICAID 766714100

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