Individual
AMANDA MASSIEL ALBA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8107 SW 72ND AVE APT 423E, MIAMI, FL 33143-7627
(786) 257-8957
Mailing address
8107 SW 72ND AVE APT 423E, MIAMI, FL 33143-7627
(786) 257-8957
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-260632
FL
Other
Enumeration date
08/07/2023
Last updated
03/10/2025
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