Individual
AMANDA PITA DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5130 LAKE HAVEN BLVD, SEBRING, FL 33875-5649
(863) 381-6315
(863) 582-9346
Mailing address
7045 SAN BRUNO DR, SEBRING, FL 33872-2236
(346) 631-4260
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-382552
FL
Other
Enumeration date
12/03/2024
Last updated
12/03/2024
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