Individual
AMANDA MARTINEZ CHAVEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5712 SW 19TH ST APT 401, MIAMI, FL 33155-2102
(786) 772-8729
Mailing address
391 E 56TH ST, HIALEAH, FL 33013-1231
(786) 772-8729
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-322589
FL
Other
Enumeration date
02/12/2024
Last updated
02/12/2024
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