Individual
AMAURY YANDY JAIME SANTISTEBAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3066 S JOG RD, GREENACRES, FL 33467-2053
(561) 788-4086
(561) 228-0540
Mailing address
4992 REGINA CT, WEST PALM BEACH, FL 33415-9165
(561) 673-0079
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-267845
FL
Other
Enumeration date
05/02/2023
Last updated
05/02/2023
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