Rodriguez-Mancilla, Ambar Dianeth

Rodriguez-Mancilla, Ambar Dianeth is an individual health care provider with primary practice located at 222 Broadway , Kissimmee FL 34741-5781. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Rodriguez-Mancilla, Ambar Dianeth can be contacted via phone (407) 329-3464.

Contact Information

Primary practice address
222 Broadway Kissimmee FL 34741-5781
Phone: (407) 329-3464
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-24-70809 Florida

Profile Details

NPI number 1285180117
LBN Legal business name Rodriguez-Mancilla, Ambar Dianeth
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2016
Last updated Apr 9th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285180117 NPPES
Florida MEDICAID 108221600

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