Individual
AMANDA CEPERO NIEBLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7875 NW 12TH ST STE 110, DORAL, FL 33126-1815
(786) 269-3502
Mailing address
15900 SW 144TH CT, MIAMI, FL 33177-6886
(786) 406-2986
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
24-347725
FL
Other
Enumeration date
06/03/2024
Last updated
06/03/2024
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