IndividualActive
Alexis Fudge, RBT
NPI 1376301549 · Behavior Technician · Pace, FL
Provider details
- NPI number
- 1376301549
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Credential
- RBT
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
5345 Highway 90
Pace, FL 32571-1529
Phone: (850) 463-4999
Fax: (850) 361-3443
Approximate (ZIP-level) locationGet directions
Mailing address
5345 Highway 90
Pace, FL 32571-1529
Registry dates
- Enumerated
- 2024-03-11
- Last updated
- 2025-09-04
- Certified
- 2025-09-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.