Individual
AUSTIN AVERY MIYAMOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5959 LAKE ELLENOR DR, ORLANDO, FL 32809-4633
(407) 723-1926
Mailing address
5959 LAKE ELLENOR DR, ORLANDO, FL 32809-4633
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/21/2019
Last updated
06/19/2026
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