Individual
AMY PEREZ SOTOLONGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4810 ALVARADO DR, TAMPA, FL 33634-6225
(813) 315-0050
Mailing address
4810 ALVARADO DR, TAMPA, FL 33634-6225
(813) 315-0050
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
23-289588
FL
Other
Enumeration date
10/03/2023
Last updated
10/03/2023
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