Individual
AMANDA RAQUEL GARCIA FABIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7815 CAMINO REAL APT 316, MIAMI, FL 33143-6883
(786) 859-7706
Mailing address
7815 CAMINO REAL APT 316, MIAMI, FL 33143-6883
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-291732
FL
Other
Enumeration date
09/07/2023
Last updated
09/13/2023
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