Individual
AMANDA HANIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10175 FORTUNE PKWY UNIT 802, JACKSONVILLE, FL 32256-6754
(912) 785-9027
Mailing address
PO BOX 253, SKILLMAN, NJ 08558-0253
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-205112
FL
Other
Enumeration date
03/01/2022
Last updated
03/01/2022
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