Individual
AMANDA MARCOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
102 PARK PLACE BLVD STE C1, KISSIMMEE, FL 34741-2358
(407) 385-0728
Mailing address
405 MEADOW POINTE DR, HAINES CITY, FL 33844-9542
(203) 522-6765
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-401927
FL
Other
Enumeration date
12/27/2024
Last updated
12/27/2024
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