Individual
AMANDA PONZOA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3266 SW 153RD PL, MIAMI, FL 33185-4838
(786) 247-7480
Mailing address
3266 SW 153RD PL, MIAMI, FL 33185-4838
(786) 247-7480
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/17/2021
Last updated
09/17/2021
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