Individual
AMANDA RAE MORALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13976 SW 155TH ST, MIAMI, FL 33177-0943
(786) 863-0754
Mailing address
13976 SW 155TH ST, MIAMI, FL 33177-0943
(786) 863-0754
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/06/2021
Last updated
04/06/2021
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