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Individual

AMANDA MICHELLE BENNETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
6976 PROFESSIONAL PKWY, LAKEWOOD RANCH, FL 34240-8414
(941) 308-4641
(866) 611-1558
Mailing address
300 INTERNATIONAL PKWY STE 200, LAKE MARY, FL 32746-5028
(866) 610-0580
(866) 611-1558

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
FL

Other

Enumeration date
03/10/2026
Last updated
03/10/2026
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