Most Relevant Information
Provider Data
| NPI Number: | 1003570284 |
| Provider Name: | AMANDA FARRADA |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 10/25/2021 |
| Last Updated: | 10/25/2021 |
Provider Practice Location
11611 NW 58TH AVE
HIALEAH
FL
330126628
Practice Location Phone/Fax
| Phone: | 7864458655 |
| Fax: |
Provider Mailing Location
11611 NW 58TH AVE
HIALEAH
FL
330126628
Provider Mailing Phone/Fax
| Phone: | 7864458655 |
| Fax: |