Individual
AMANDLA AVILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
U
Contact information
Practice address
1072 BEDFORD AVE, BROOKLYN, NY 11216-5594
(917) 936-6464
Mailing address
1072 BEDFORD AVE, BROOKLYN, NY 11216-5594
(917) 936-6464
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
NY
Other
Enumeration date
10/08/2024
Last updated
04/30/2026
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