Individual
AMANDA CEREZAL GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7519 N THATCHER AVE, TAMPA, FL 33614-3126
(813) 616-9418
Mailing address
7519 N THATCHER AVE, TAMPA, FL 33614-3126
(813) 616-9418
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/20/2023
Last updated
02/20/2023
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