Individual
AMANDA QUINTANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2632 JOLLIVETTE RD, NORTH PORT, FL 34288-7655
(402) 609-9869
Mailing address
2632 JOLLIVETTE RD, NORTH PORT, FL 34288-7655
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/09/2024
Last updated
09/09/2024
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