Individual
AMANDA COPPOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8390 CHAMPIONS GATE BLVD STE 110, CHAMPIONS GATE, FL 33896-8311
(407) 753-7932
Mailing address
1500 S DOUGLAS RD STE 230, CORAL GABLES, FL 33134-4108
(844) 244-1818
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105385500
—
FL
Enumeration date
11/10/2018
Last updated
12/30/2024
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