Amanda Marie Smith

NPI #1689242588 in Fort Wayne, Indiana

Provider Information

NPI Number: 1689242588
Entity Type: Individual
Name: Amanda Marie Smith
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Analyst
Enumeration Date: Jun 16, 2021
Last Updated: Jun 16, 2021

Practice Location

Address: 2825 HILLEGAS RD
City: Fort Wayne
State: Indiana
ZIP Code: 46808-3859
Phone: (260) 338-1241

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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