MEDICARE: KRISTI-ANA AMATO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103K00000X	Behavior Analyst	1-20-41901	FL

General Provider Information

NPI Number	:	1720424823
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KRISTI-ANA AMATO

Provider Business Mailing Address
First Line	:	3172 BURLINGTON DR
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32837-9039
Country	:	US
Telephone Number	:	732-664-0848
Fax Number	:

Provider Business Practice Location Address
First Line	:	3200 S HIAWASSEE RD
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32835-6317
Country	:	US
Telephone Number	:	407-286-4031
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/15/2013
Last Update Date	:	05/05/2023

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Directions to “ KRISTI-ANA AMATO ” Practice Location

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