Individual
AMANDA JILL KOZINKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11808 N OHIO ST, DUNNELLON, FL 34431-6724
(352) 462-7021
Mailing address
9895 SW 206TH CIR, DUNNELLON, FL 34431-5839
(352) 425-9848
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
23302778
FL
Other
Enumeration date
10/09/2023
Last updated
10/09/2023
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