Individual
AMIRA JADE RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4460 HODGES BLVD APT 1012, JACKSONVILLE, FL 32224-5210
(856) 534-9421
Mailing address
4460 HODGES BLVD APT 1012, JACKSONVILLE, FL 32224-5210
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-56131
FL
106S00000X
Behavior Technician
RBT-18-50084
GA
Other
Enumeration date
09/11/2018
Last updated
04/03/2023
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