Individual
AMANDA ALEXIS ACEVEDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2930 MAGUIRE RD, OCOEE, FL 34761
(407) 602-5010
Mailing address
175 MIDDLE ST UNIT 1201, LAKE MARY, FL 32746-3625
(718) 313-2548
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
FL
Other
Enumeration date
05/24/2018
Last updated
01/23/2019
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