Provider Demographics
NPI:1215686803
Name:STEELE, ALECIA DEBBIESHA (RBT)
Entity type:Individual
Prefix:
First Name:ALECIA
Middle Name:DEBBIESHA
Last Name:STEELE
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 1:7400 SILVER LACE LN APT 422
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32818-3368
Mailing Address - Country:US
Mailing Address - Phone:407-218-2526
Mailing Address - Fax:
Practice Address - Street 1:6903 SAWTOOTH CT
Practice Address - Street 2:
Practice Address - City:OCOEE
Practice Address - State:FL
Practice Address - Zip Code:34761-8451
Practice Address - Country:US
Practice Address - Phone:407-758-4948
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-21
Last Update Date:2022-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-21-192673106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL112693800Medicaid