Individual
AMARYLLIS ELSIE FARRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
305 WAYMONT CT STE 101, LAKE MARY, FL 32746-3566
(954) 850-1920
Mailing address
118 HIDDEN LAKE DR, SANFORD, FL 32773-5512
(407) 473-9605
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
FL
Other
Enumeration date
12/11/2025
Last updated
12/11/2025
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