Individual
AMANDA GRIGOLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5318 NE 6TH AVE APT 3, OAKLAND PARK, FL 33334-3429
(954) 804-1985
Mailing address
5318 NE 6TH AVE APT 3, OAKLAND PARK, FL 33334-3429
(954) 804-1985
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-233830
FL
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/30/2022
Last updated
03/26/2026
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