Individual
AMANDA A CARRERAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1414 NW 107TH AVE STE 301, SWEETWATER, FL 33172-2742
(786) 860-5161
Mailing address
1414 NW 107TH AVE STE 301, SWEETWATER, FL 33172-2742
(786) 860-5161
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/17/2019
Last updated
12/17/2019
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