Amanda Marie Smith
Behavior Analyst in Fort Wayne, IN. Individual provider (NPI-1).
NPI number1689242588
StatusActive
Last updated in NPPESJun 16, 2021
Details
- NPI
- 1689242588
- Entity type
- Individual (NPI-1)
- Name
- Amanda Marie Smith
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 16, 2021
- Certification date
- Jun 16, 2021
- Last updated
- Jun 16, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | – | – | Yes |
Practice location
2825 Hillegas RdFort Wayne, IN 46808-3859
Phone 260-338-1241
Mailing address
4935 Hillegas Rd Ste 200Fort Wayne, IN 46818-1943
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