Individual
AMBER MASTASO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3880 COLONIAL BLVD STE 2, FORT MYERS, FL 33966-1062
(239) 351-4787
Mailing address
10 LINCOLN AVE, LEHIGH ACRES, FL 33936-6760
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/22/2024
Last updated
04/22/2024
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