Individual
MISS AMANDA MARIA HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1830 W 63RD ST, HIALEAH, FL 33012-6026
(786) 381-4981
Mailing address
1830 W 63RD ST, HIALEAH, FL 33012-6026
(786) 381-4981
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
FL
Other
Enumeration date
02/01/2021
Last updated
02/01/2021
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