Individual
AMANDA ALBA FUENTES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11790 SW 18TH ST APT 218, MIAMI, FL 33175-1648
(786) 846-0040
Mailing address
11790 SW 18TH ST APT 218, MIAMI, FL 33175-1648
(786) 846-0040
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/09/2024
Last updated
04/09/2024
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