Individual
AMANDA MARIE PANEQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12315 LAKE UNDERHILL RD, ORLANDO, FL 32828-4507
(321) 972-4039
Mailing address
12315 LAKE UNDERHILL RD, ORLANDO, FL 32828-4507
(321) 972-4039
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
FL
Other
Enumeration date
06/18/2025
Last updated
08/28/2025
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