Organization
APPLIED PSYCHOPHYSIOLOGY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROMY AMILCA (MANAGER)
(772) 248-4800
Entity
Organization
Contact information
Practice address
661 EYSTER BLVD, ROCKLEDGE, FL 32955-8119
(772) 248-4800
Mailing address
401 OLD DIXIE HWY UNIT 3609, JUPITER, FL 33469-2445
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
Primary
—
—
Other
Enumeration date
05/22/2025
Last updated
08/29/2025
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