Individual
AMIRA H SHALABY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4063 N GOLDENROD RD STE 210, WINTER PARK, FL 32792-8900
(407) 624-4002
(866) 920-4210
Mailing address
PO BOX 5348, WINTER PARK, FL 32793-5348
(407) 867-1033
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/13/2019
Last updated
03/13/2019
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