Individual
AMANDA DIAZ NUNEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13700 SW 18TH TER, MIAMI, FL 33175-1058
(305) 213-9445
Mailing address
13700 SW 18TH TER, MIAMI, FL 33175-1058
(305) 213-9445
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
24-334997
FL
Other
Enumeration date
04/29/2024
Last updated
04/01/2025
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