Individual
AMANDA MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
23811 SW 109TH PL, HOMESTEAD, FL 33032-6184
(786) 819-1672
Mailing address
23811 SW 109TH PL, HOMESTEAD, FL 33032-6184
(786) 819-1672
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-401936
FL
Other
Enumeration date
01/06/2025
Last updated
06/03/2025
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