Individual
AMANDA MOSCOSO DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1324 BARRINGTON DR, WEST PALM BEACH, FL 33406-5005
(305) 833-0716
Mailing address
1324 BARRINGTON DR, WEST PALM BEACH, FL 33406-5005
(305) 833-0716
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/28/2022
Last updated
07/28/2022
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