Individual
AMANDA NOGUEROL GOMEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6520 NW 29TH AVE, MIAMI, FL 33147-7664
(786) 858-5433
Mailing address
6520 NW 29TH AVE, MIAMI, FL 33147-7664
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
FL
Other
Enumeration date
09/18/2023
Last updated
09/18/2023
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