Individual
AMANDA ZARETH CAMPOS HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12244 SW 29TH TER, MIAMI, FL 33175-2224
(786) 728-1993
Mailing address
12244 SW 29TH TER, MIAMI, FL 33175-2224
(786) 728-1993
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-320844
FL
Other
Enumeration date
01/22/2024
Last updated
01/22/2024
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