Individual
AMANDA ALFARO FONSECA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1555 W 44TH PL APT 332, HIALEAH, FL 33012-7843
(786) 838-6558
Mailing address
1555 W 44TH PL APT 332, HIALEAH, FL 33012-7843
(786) 838-6558
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-347931
FL
251B00000X
Case Management Agency
CBHCM.0107510-P
FL
Other
Enumeration date
05/20/2024
Last updated
04/15/2025
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