Individual
AMANDA MARIE MCDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1225 SW 34TH TER, CAPE CORAL, FL 33914-5147
(239) 850-3679
Mailing address
1225 SW 34TH TER, CAPE CORAL, FL 33914-5147
(239) 850-3679
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
FL
Other
Enumeration date
10/23/2017
Last updated
11/01/2017
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