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Individual

AMANDA ISABEL PEREZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
6900 TAVISTOCK LAKES BLVD STE 400, ORLANDO, FL 32827-7593
(321) 947-8923
Mailing address
3261 ALAFAYA CLUB DR, ORLANDO, FL 32817-6540
(321) 947-8923

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
08/11/2022
Last updated
08/11/2022
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