Individual
AMANDA D CALDERIN MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2377 NW 30TH ST, MIAMI, FL 33142-6554
(786) 714-4573
Mailing address
2377 NW 30TH ST, MIAMI, FL 33142-6554
(786) 714-4573
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-387037
FL
Other
Enumeration date
10/29/2024
Last updated
10/29/2024
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