Individual
AMANDA MEDINA RAMIREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5204 BARTH ST, LEHIGH ACRES, FL 33971-6541
(239) 565-0197
Mailing address
5204 BARTH ST, LEHIGH ACRES, FL 33971-6541
(239) 565-0197
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-286254
FL
Other
Enumeration date
08/03/2023
Last updated
08/03/2023
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