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Individual

AMIRA VALLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1128 BEVILLE RD, DAYTONA BEACH, FL 32114-5747
(386) 267-3161
Mailing address
300 INTERNATIONAL PARJWAY SUITE 200, LAKE MARY, FL 32746-3625
(866) 610-0580

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
12/10/2019
Last updated
12/10/2019
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