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Individual

AMANDA LYNNE SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S., BCBA, LABA

Contact information

Practice address
43 BROAD ST, HUDSON, MA 01749-3185
(508) 651-7500
Mailing address
691 GRAFTON ST STE 2, WORCESTER, MA 01604-3185
(508) 304-9804

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-20-44858
MA

Other

Enumeration date
05/04/2021
Last updated
11/14/2022
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