Individual
AMANDA CARIDAD RODRIGUEZ HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 INTERNATIONAL PKWY STE 200, LAKE MARY, FL 32746-5028
(866) 610-0580
Mailing address
14265 SW 43RD COURT RD, OCALA, FL 34473-2101
(352) 653-9291
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/23/2020
Last updated
06/23/2020
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