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Individual

AMELIA L FIELDS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1815 MICCOSUKEE COMMONS DR, SUITE 102, TALLAHASSEE, FL 32308-5456
(850) 264-1335
Mailing address
630 W VIRGINIA ST, APT 317, TALLAHASSEE, FL 32304-7933
(251) 459-3126

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Enumeration date
10/07/2014
Last updated
10/07/2014
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