Individual
AMANDA MAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13370 SW 131ST ST STE 104, MIAMI, FL 33186-5856
(786) 581-9644
Mailing address
8451 NW 163RD TER, MIAMI LAKES, FL 33016-6634
(786) 567-1898
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-292137
FL
Other
Enumeration date
09/07/2023
Last updated
09/07/2023
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