Individual
AMANDA VELEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
40 HANCOCK ST APT B, REVERE, MA 02151-5231
(646) 400-2214
Mailing address
40 HANCOCK ST APT B, REVERE, MA 02151-5231
(646) 400-2214
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/06/2017
Last updated
11/06/2017
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