Individual
AMOYA DENE ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
10272 S US HIGHWAY 1, PORT ST LUCIE, FL 34952-5615
(872) 694-0772
Mailing address
5429 NW FOX SQUIRREL LN APT 204, PORT ST LUCIE, FL 34986-4335
(254) 289-0991
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
BACB1178177
FL
Other
Enumeration date
09/01/2025
Last updated
09/01/2025
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