Individual
AMANDA SCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3880 COLONIAL BLVD STE 2, FORT MYERS, FL 33966-1062
(239) 351-0675
Mailing address
3880 COLONIAL BLVD STE 2, FORT MYERS, FL 33966-1062
(239) 351-0675
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-179828
FL
Other
Enumeration date
08/17/2021
Last updated
08/17/2021
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