Individual
AMANDA RACHEL RUIZ CALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3106 26TH ST SW, LEHIGH ACRES, FL 33976-3906
(786) 492-0499
Mailing address
3106 26TH ST SW, LEHIGH ACRES, FL 33976-3906
(786) 492-0499
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-411443
FL
Other
Enumeration date
05/14/2025
Last updated
05/14/2025
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