Individual
AMANDA DALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
124 E MIRACLE STRIP PKWY, MARY ESTHER, FL 32569-1988
(850) 301-0438
Mailing address
305 SHIELD DR, CRESTVIEW, FL 32539-4363
(256) 689-9606
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
FL
Other
Enumeration date
02/24/2022
Last updated
02/24/2022
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