Individual
AMANDA BEATRIZ GARCIA GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2530 SW 123RD AVE, MIAMI, FL 33175-1176
(786) 580-2510
Mailing address
2530 SW 123RD AVE, MIAMI, FL 33175-1176
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-291279
FL
Other
Enumeration date
09/01/2023
Last updated
09/01/2023
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