Individual
AMANDA KAY BROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
50989 HIGHWAY 27 LOT 173, DAVENPORT, FL 33897-8510
(352) 809-0881
Mailing address
1551 BOREN DR, OCOEE, FL 34761-2966
(407) 223-1298
(407) 395-8654
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-331352
FL
Other
Enumeration date
03/18/2024
Last updated
03/18/2024
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