Individual
AMANDA FARRADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11611 NW 58TH AVE, HIALEAH, FL 33012-6628
(786) 445-8655
Mailing address
11611 NW 58TH AVE, HIALEAH, FL 33012-6628
(786) 445-8655
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/25/2021
Last updated
10/25/2021
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