Individual
AMANDA SUZANNE BLODER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2930 MAGUIRE RD STE 200, OCOEE, FL 34761-4750
(407) 602-5010
Mailing address
300 INTERNATIONAL PKWY STE 200, LAKE MARY, FL 32746-5028
(866) 610-0580
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/14/2024
Last updated
09/14/2024
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