Individual
AMANDA HERNANDEZ AGUILA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1645 PALM BEACH LAKES BLVD STE 1200, WEST PALM BEACH, FL 33401-2214
(561) 207-2068
Mailing address
4801 ALORA ISLES DR APT 3306, WEST PALM BEACH, FL 33417-3615
(561) 452-0761
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-230126
FL
Other
Enumeration date
08/25/2022
Last updated
01/26/2024
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