Individual
AMANDA FAGUNDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
18500 NW 83RD CT, HIALEAH, FL 33015-2631
(786) 346-5261
Mailing address
18500 NW 83RD CT, HIALEAH, FL 33015-2631
(786) 346-5261
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-370701
FL
Other
Enumeration date
10/31/2024
Last updated
10/31/2024
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