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Individual

AMANDA MOORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3601 SW 2ND AVE STE Y, GAINESVILLE, FL 32607-2802
(561) 809-5074
Mailing address
1731 SW 66TH DR, GAINESVILLE, FL 32607-5369

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
08/26/2020
Last updated
08/26/2020
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