Individual
AMY FLEETWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2574 COMMERCE PKWY, NORTH PORT, FL 34289-9334
(800) 356-4049
(941) 485-0519
Mailing address
PO BOX 631278, CINCINNATI, OH 45263-1278
(800) 356-4049
(941) 485-0519
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-210058
FL
Other
Enumeration date
04/07/2022
Last updated
04/07/2022
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