Individual
AMANDA PINEIRO JANEIRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
175 FONTAINEBLEAU BLVD STE 2K5, MIAMI, FL 33172-7014
(786) 558-8246
(786) 288-3457
Mailing address
6316 SW 136TH CT APT G201, MIAMI, FL 33183-1285
(732) 877-5681
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-20-130708
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
113282400
—
FL
Enumeration date
08/30/2022
Last updated
08/30/2022
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