Provider Demographics
NPI:1881179455
Name:PRESBITERO, ALECIA (RBT)
Entity Type:Individual
Prefix:MRS
First Name:ALECIA
Middle Name:
Last Name:PRESBITERO
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19600 SW BARFIELD RD
Mailing Address - Street 2:
Mailing Address - City:BLOUNTSTOWN
Mailing Address - State:FL
Mailing Address - Zip Code:32424-4901
Mailing Address - Country:US
Mailing Address - Phone:850-451-6479
Mailing Address - Fax:
Practice Address - Street 1:19600 SW BARFIELD RD
Practice Address - Street 2:
Practice Address - City:BLOUNTSTOWN
Practice Address - State:FL
Practice Address - Zip Code:32424-4901
Practice Address - Country:US
Practice Address - Phone:850-451-6479
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-30
Last Update Date:2018-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician