Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Alice Willow Booth

Individual provider Behavior Technician · NPI 1366253874

Alice Willow Booth is a Behavior Technician in Pinellas Park, Florida. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

5540 Park Blvd N
Pinellas Park, FL 33781-3326
Phone: (727) 225-1669
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1366253874
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 15, 2025
Last updated in NPPESOctober 30, 2025
Certification dateOctober 30, 2025
Mailing address5540 Park Blvd N, Pinellas Park, FL 33781-3326

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