Individual
AMANDA NINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9600 NW 25TH ST STE PH, DORAL, FL 33172-1416
(305) 597-3861
(305) 597-3863
Mailing address
9600 NW 25TH ST STE PH, DORAL, FL 33172-1416
(305) 597-3861
(305) 597-3863
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0-17-7698
FL
Other
Enumeration date
07/09/2014
Last updated
09/18/2019
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