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Individual

AMANDA NICOLE SOTO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4440 & 4442 5HT ST W, BRADENTON, FL 34207
(941) 744-1211
Mailing address
4442 5HT ST W, BRADENTON, FL 34207-6499
(941) 744-1211

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-307118

Other

Enumeration date
04/26/2024
Last updated
04/04/2025
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