Individual
AMRITA JAGMOHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
730 SAND LAKE RD STE 176, ORLANDO, FL 32809-7747
(407) 542-2630
Mailing address
1033 QUINTILIAN AVE, ORLANDO, FL 32809-5858
(321) 276-3149
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-229555
CO
Other
Enumeration date
08/15/2022
Last updated
08/15/2022
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