Individual
AMY WHITFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
848 EXECUTIVE DR, OVIEDO, FL 32765-7699
(407) 678-8889
Mailing address
308 GEORGETOWN DR, CASSELBERRY, FL 32707-6103
(407) 678-8889
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/23/2017
Last updated
05/23/2017
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