Individual
AMANDA ISABEL ACOSTA RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1490 S MILITARY TRL STE 7, WEST PALM BEACH, FL 33415-9141
(561) 323-2552
Mailing address
2290 48TH DR N, WEST PALM BEACH, FL 33417-3934
(561) 631-2713
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-222993
FL
Other
Enumeration date
07/06/2022
Last updated
07/06/2022
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