Individual
AMY BRIGITTE DUQUE-AYALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11011 SHERIDAN ST STE 210, HOLLYWOOD, FL 33026-1531
(954) 552-6668
Mailing address
11390 SW 11TH CT, DAVIE, FL 33325-4006
(786) 570-9920
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-360742
FL
Other
Enumeration date
09/05/2024
Last updated
09/05/2024
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