Individual
AMANDA NOVO HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
2710 5TH ST SW, LEHIGH ACRES, FL 33976-2532
(239) 410-5146
Mailing address
2710 5TH ST SW, LEHIGH ACRES, FL 33976-2532
(239) 410-5146
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-258030
FL
Other
Enumeration date
02/15/2023
Last updated
09/13/2023
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