Individual
AMANDA HERRERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6303 BLUE LAGOON DR STE 400, MIAMI, FL 33126-6040
(786) 801-1571
Mailing address
105 VIRGINIA RD, WEST PARK, FL 33023-5263
(754) 736-5430
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
23281171
FL
Other
Enumeration date
08/09/2023
Last updated
08/09/2023
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