Individual
AMANDA RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6520 180TH AVE N, LOXAHATCHEE, FL 33470-3204
(561) 309-7372
Mailing address
6520 180TH AVE N, LOXAHATCHEE, FL 33470-3204
(561) 309-7372
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-152148
FL
Other
Enumeration date
02/02/2021
Last updated
02/02/2021
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