Individual
AMANDA MELANY MENA CEBALLOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
247 SW PORT ST LUCIE BLVD, PORT SAINT LUCIE, FL 34984-5015
(772) 207-1356
(772) 742-2924
Mailing address
300 INTERNATIONAL PKWY STE 200, LAKE MARY, FL 32746-5028
(866) 610-0580
(866) 611-1558
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/17/2026
Last updated
04/17/2026
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