Individual
AMANDA VADDEPALLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16441 NW 18TH PL, OPA LOCKA, FL 33054-6627
(305) 513-1678
Mailing address
16441 NW 18TH PL, OPA LOCKA, FL 33054-6627
(305) 513-1678
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/05/2025
Last updated
12/05/2025
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