Individual
AMANDA DE LOS ANGELES HUESCA RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
18001 NW 42ND PL, MIAMI GARDENS, FL 33055-3309
(305) 987-3921
Mailing address
18001 NW 42ND PL, MIAMI GARDENS, FL 33055-3309
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-20-125007
FL
Other
Enumeration date
02/23/2021
Last updated
02/23/2021
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