Individual
AMIYAH CARNALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1756 SEA LARK LN, NAVARRE, FL 32566-7406
(850) 362-6824
Mailing address
PO BOX 259, SHALIMAR, FL 32579-0259
(850) 362-6824
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/25/2024
Last updated
09/25/2024
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