Individual
AMILYA TA'TIANA SANON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
247 SW PORT ST LUCIE BLVD, PORT SAINT LUCIE, FL 34984-5015
(772) 207-1356
Mailing address
300 INTERNATIONAL PKWY STE 200, LAKE MARY, FL 32746-5028
(866) 610-0580
(813) 585-4402
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/07/2025
Last updated
11/07/2025
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