Individual
AMANDA DOMINGUEZ LA NUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
95 NW 47TH AVE APT 7, MIAMI, FL 33126-5249
(786) 740-0889
Mailing address
95 NW 47TH AVE APT 7, MIAMI, FL 33126-5249
(786) 740-0889
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/30/2024
Last updated
12/30/2024
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