Individual
AMANDA SHEPARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2138 SANDRIDGE CIR, EUSTIS, FL 32726-4486
(352) 405-6532
Mailing address
2138 SANDRIDGE CIR, EUSTIS, FL 32726-4486
(352) 405-6532
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/28/2023
Last updated
07/28/2023
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