Individual
AMANDA ELIZABETH VAZQUEZ FUENTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1020 N DOUGLAS RD, PEMBROKE PINES, FL 33024-4762
(786) 793-5143
Mailing address
1020 N DOUGLAS RD, PEMBROKE PINES, FL 33024-4762
(786) 793-5143
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/14/2025
Last updated
10/14/2025
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