Individual
AMANDA GARCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTER BEHAVIOR TE
Contact information
Practice address
6625 MIAMI LAKES DR SUITE 374, MIAMI LAKES DR 374, FL 33014-2710
(305) 777-3883
(305) 777-3837
Mailing address
15539 MIAMI LAKEWAY #207, MIAMI LAKES, FL 33014-5560
(305) 988-3176
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-193234
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
112598800
—
FL
Enumeration date
07/01/2022
Last updated
07/01/2022
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