Individual
AMANDA MARIA LOPEZ GARCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
18781 SW 294TH TER, HOMESTEAD, FL 33030-2303
(305) 484-6590
Mailing address
18781 SW 294TH TER, HOMESTEAD, FL 33030-2303
(305) 484-6590
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-397867
FL
Other
Enumeration date
01/07/2025
Last updated
01/07/2025
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