Individual
AMANDA LUGO LLERENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1202 SUMMER ST, PALM SPRINGS, FL 33461-2548
(561) 344-2361
Mailing address
1202 SUMMER ST, PALM SPRINGS, FL 33461-2548
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-395435
FL
Other
Enumeration date
12/02/2024
Last updated
12/02/2024
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