Individual
AMY LEA OFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
644 FERGUSON DR, ORLANDO, FL 32805-1021
(407) 574-4629
Mailing address
4749 BEACON ST, ORLANDO, FL 32808-2613
(407) 574-4629
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-17-27302
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019557000
—
FL
Enumeration date
09/26/2017
Last updated
03/15/2021
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