Individual
AMANDA RIVERON ROQUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3061 SW 11TH ST, MIAMI, FL 33135-4707
(305) 322-8695
Mailing address
3061 SW 11TH ST, MIAMI, FL 33135-4707
(305) 322-8695
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-338078
FL
Other
Enumeration date
04/03/2024
Last updated
03/23/2026
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