Individual
AMY RESTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16414 LAKE CHURCH DR, ODESSA, FL 33556-2637
(813) 382-2722
Mailing address
4812 TAMPA DOWNS BLVD, LUTZ, FL 33559-6207
(813) 406-2520
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/11/2016
Last updated
10/18/2017
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