Individual
AMANDA CAMACHO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9815 CROSS PINE CT, LAKE WORTH, FL 33467-2367
(561) 223-8076
(561) 584-5372
Mailing address
1060 W 24TH ST, HIALEAH, FL 33010-1926
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
FL
Other
Enumeration date
10/15/2019
Last updated
12/14/2024
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