Individual
AMANDA LAURITSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5500 MURRELL RD STE 100, VIERA, FL 32940-6700
(321) 426-7759
Mailing address
300 INTERNATIONAL PKWY STE 200, LAKE MARY, FL 32746-5028
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/06/2022
Last updated
09/06/2022
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