Amanda Basulto
NPI #1144711680 in Sweetwater, Florida
Provider Information
- NPI Number
- 1144711680
- Entity Type
- Individual
- Name
- Amanda Basulto
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Behavior Technician
- Enumeration Date
- May 21, 2018
- Last Updated
- Mar 8, 2021
Practice Location
- Address
- 1414 NW 107TH AVE STE 301
- City
- Sweetwater
- State
- Florida
- ZIP Code
- 33172-2742
- Phone
- (786) 537-0500
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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