Individual
AMANDA PENTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
871 NW 127TH CT, MIAMI, FL 33182-1826
(786) 250-8227
Mailing address
871 NW 127TH CT, MIAMI, FL 33182-1826
(786) 250-8227
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
BACB607087
FL
106S00000X
Behavior Technician
Primary
RBT20144563
FL
Other
Enumeration date
12/01/2020
Last updated
12/01/2020
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