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Individual

AMIE PEREIRA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
108 LILAC DR, KISSIMMEE, FL 34743-6345
(407) 615-0448
Mailing address
108 LILAC DR, KISSIMMEE, FL 34743-6345
(407) 615-0448

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-198666
FL

Other

Enumeration date
01/13/2022
Last updated
01/13/2022
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