Individual
AMANDA AYALA SANTANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2713 44TH ST SW, LEHIGH ACRES, FL 33976-4738
(786) 259-5376
Mailing address
2713 44TH ST SW, LEHIGH ACRES, FL 33976-4738
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/24/2024
Last updated
10/24/2024
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