Individual
AMANDA M BETANCOURT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8785 SW 165TH AVE STE 104, MIAMI, FL 33193-5827
(786) 206-6500
Mailing address
8829 NW 111TH TER, HIALEAH GARDENS, FL 33018-4568
(954) 667-2129
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
20-132395
FL
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/08/2020
Last updated
09/08/2020
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