Individual
AMY LEYVA PRADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1400 SW 1ST TER, CAPE CORAL, FL 33991-1401
(786) 547-7422
Mailing address
6435 W 25TH LN, HIALEAH, FL 33016-4371
(786) 547-7422
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BACB1004719
FL
Other
Enumeration date
02/29/2024
Last updated
02/29/2024
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