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Individual

AMELIA L SIPLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RBT

Contact information

Practice address
2138 SANDRIDGE CIR, EUSTIS, FL 32726-4486
(407) 579-7041
Mailing address
5016 PINE NEEDLE DR, MASCOTTE, FL 34753-8854
(352) 444-0690

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-20-143191
FL

Other

Enumeration date
01/06/2021
Last updated
01/06/2021
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