Individual
AMANDA LETICIA ACEVEDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
18811 W OAKMONT DR, HIALEAH, FL 33015-2905
(786) 351-0373
Mailing address
18811 W OAKMONT DR, HIALEAH, FL 33015-2905
(786) 351-0373
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/06/2024
Last updated
11/06/2024
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