Individual
MS. AMANDA SARDINAS SEVILLANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
3002 SW 67TH TER, MIRAMAR, FL 33023-4817
(786) 312-4032
Mailing address
3002 SW 67TH TER, MIRAMAR, FL 33023-4817
(786) 312-4032
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-341294
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
122890900
—
FL
Enumeration date
05/01/2024
Last updated
07/22/2024
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