Individual
AMANDA E FRUSCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2651 W PRICE BLVD, NORTH PORT, FL 34286-4928
(908) 581-2061
Mailing address
2651 W PRICE BLVD, NORTH PORT, FL 34286-4928
(908) 581-2061
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
NJ
106S00000X
Behavior Technician
Primary
RBT-25-42082
FL
Other
Enumeration date
03/05/2017
Last updated
02/26/2026
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