Individual
AMY MONROE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
706 MARATHON WAY, SOUTH DAYTONA, FL 32119-1920
(386) 846-4977
Mailing address
706 MARATHON WAY, SOUTH DAYTONA, FL 32119-1920
(386) 846-4977
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
FL
Other
Enumeration date
02/13/2017
Last updated
02/13/2017
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