Individual provider · NPI-1

Amanda Alfaro Fonseca

Behavior Technician · Hialeah, FL

NPI number1114776341
StatusActive
Last updated in NPPESApr 15, 2025

Details

NPI
1114776341
Entity type
Individual (NPI-1)
Name
Amanda Alfaro Fonseca
Sex
Female
Sole proprietor
Yes
Enumeration date
May 20, 2024
Certification date
Apr 15, 2025
Last updated
Apr 15, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior TechnicianRBT-24-347931FLYes
251B00000X Case ManagementCBHCM.0107510-PFL

Practice location

1555 W 44th Pl Apt 332
Hialeah, FL 33012-7843

Phone 786-838-6558

Mailing address

1555 W 44th Pl Apt 332
Hialeah, FL 33012-7843

Phone 786-838-6558

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