Individual
AMANDA BETANCOURT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
18345 SW 256TH ST, HOMESTEAD, FL 33031-1842
(786) 400-4236
Mailing address
18345 SW 256TH ST, HOMESTEAD, FL 33031-1842
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-330003
FL
Other
Enumeration date
06/21/2024
Last updated
06/21/2024
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