Individual
AMAURY ALONSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
15509 SW 138 PLACE, MIAMI, FL 33177-1170
(786) 296-6599
Mailing address
15509 SW 138TH PL, MIAMI, FL 33177-1170
(786) 296-6599
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
020963600
—
FL
Enumeration date
08/31/2017
Last updated
07/21/2022
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