Individual
AMARIYA KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
212 SOUTHERN BREEZE LOOP, WINTER HAVEN, FL 33880-5111
(954) 850-0278
Mailing address
212 SOUTHERN BREEZE LOOP, WINTER HAVEN, FL 33880-5111
(954) 850-0278
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-20-115-386
FL
Other
Enumeration date
03/13/2020
Last updated
01/02/2024
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