Individual
AMAYA GORROCHATEGUI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12227 SW 129TH CT, MIAMI, FL 33186-6441
(305) 255-6203
Mailing address
745 NW 133RD CT, MIAMI, FL 33182-1867
(786) 486-9952
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/22/2021
Last updated
06/22/2021
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