Individual
AMANDA MARIANA CUENCA RUIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9352 NW 120TH TER, HIALEAH, FL 33018-4217
(813) 965-8860
Mailing address
9352 NW 120TH TER, HIALEAH, FL 33018-4217
(813) 965-8860
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
20-126551
FL
Other
Enumeration date
08/29/2020
Last updated
08/29/2020
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