Individual
AMANDA PINEIRO MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1355 W 44TH PL APT 234, HIALEAH, FL 33012-3366
(786) 916-0050
Mailing address
1355 W 44TH PL APT 234, HIALEAH, FL 33012-3366
(786) 916-0050
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-20-119595
FL
Other
Enumeration date
07/27/2020
Last updated
07/27/2020
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