Distefano, Alex

Distefano, Alex is an individual health care provider with primary practice located at 3491 Gandy Blvd N Ste 100 , Pinellas Park FL 33781-2652. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as his primary health care specialty. Distefano, Alex can be contacted via phone (727) 390-2211.

Contact Information

Primary practice address
3491 Gandy Blvd N Ste 100 Pinellas Park FL 33781-2652
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X RBT-21-196959 Florida

Profile Details

NPI number 1982364782
LBN Legal business name Distefano, Alex
Credentials RBT
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 21st, 2021
Last updated Dec 21st, 2021 - about 4 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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