Individual
AMBER MACKNOFSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3100 CORAL HILLS DR, CORAL SPRINGS, FL 33065-4137
(954) 796-3925
Mailing address
3100 CORAL HILLS DR, CORAL SPRINGS, FL 33065-4137
(547) 963-9259
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
02/04/2021
Last updated
10/04/2022
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