Individual
AMANDA J JONAY WESTBROOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
116 BATES AVE SW, WINTER HAVEN, FL 33880-2953
(727) 265-5394
Mailing address
116 BATES AVE SW, WINTER HAVEN, FL 33880-2953
(727) 265-5394
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-18-66851
FL
Other
Enumeration date
11/11/2019
Last updated
11/24/2021
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