Individual
AMANDA PADRON MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17643 NW 91ST AVE, MIAMI LAKES, FL 33018-6687
(786) 255-5894
Mailing address
17643 NW 91ST AVE, MIAMI LAKES, FL 33018-6687
(786) 255-5894
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-273663
FL
Other
Enumeration date
07/31/2023
Last updated
07/31/2023
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