Individual
AMANDA CHESHIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2073 GARDEN ST, TITUSVILLE, FL 32796-3243
(321) 888-3020
Mailing address
2073 GARDEN ST, TITUSVILLE, FL 32796-3243
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/25/2018
Last updated
10/17/2019
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