Individual
AMANDA CRISTINA ORTEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14510 SW 138TH PL, MIAMI, FL 33186-7215
(786) 531-9460
Mailing address
14510 SW 138TH PL, MIAMI, FL 33186-7215
(786) 531-9460
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BACB997502
FL
Other
Enumeration date
12/19/2023
Last updated
12/19/2023
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