Individual
AMANDA AMADOR IRSULA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
355 W 20TH ST APT 314, HIALEAH, FL 33010-2553
(786) 557-3752
Mailing address
355 W 20TH ST APT 314, HIALEAH, FL 33010-2553
(786) 557-3752
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
FL
Other
Enumeration date
10/30/2024
Last updated
12/10/2024
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