Individual
AMARELIS FELIPE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
2405 W 4TH CT, HIALEAH, FL 33010-1456
(786) 516-7174
Mailing address
2405 W 4TH CT, HIALEAH, FL 33010-1456
(786) 516-7174
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-18-71895
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
021239500
—
FL
Enumeration date
06/18/2019
Last updated
06/18/2019
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