Individual
AMANDA GALENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5889 S WILLIAMSON BLVD, SUITE 1311, PORT ORANGE, FL 32128-7134
(386) 681-7372
Mailing address
5889 S WILLIAMSON BLVD, SUITE 1311, PORT ORANGE, FL 32128-7134
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/10/2016
Last updated
11/10/2016
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