Individual
AMBER DAWN QUEEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3214 US HIGHWAY 19 # 208, HOLIDAY, FL 34691-1844
(727) 337-8960
Mailing address
3214 US HIGHWAY 19 # 208, HOLIDAY, FL 34691-1844
(727) 337-8960
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/21/2025
Last updated
10/21/2025
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