Individual
AMANDA COX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
791 RINEHART RD, LAKE MARY, FL 32746-4876
(407) 413-9550
Mailing address
300 INTERNATIONAL PARKWAY SUITE 200, LAKE MARY, FL 32746-3625
(866) 610-0580
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/19/2021
Last updated
06/19/2021
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