Individual
MS. AMANDA CARIDAD DIAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
913 SE 18TH ST, FLORIDA CITY, FL 33034-3563
(786) 603-8132
Mailing address
913 SE 18TH ST, FLORIDA CITY, FL 33034-3563
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-279185
FL
Other
Enumeration date
06/20/2023
Last updated
06/21/2023
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