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Individual

AMANDA SAGARIAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1022 MAIN ST, DUNEDIN, FL 34698-5238
(727) 643-7695
Mailing address
1022 MAIN ST, DUNEDIN, FL 34698-5238
(727) 643-7695

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
11936156
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
018952200
FL
Enumeration date
01/22/2015
Last updated
02/15/2021
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