Individual
AMY SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
23800 NORTHWESTERN HWY STE 190L, SOUTHFIELD, MI 48075-7740
(248) 900-2166
Mailing address
4285 SAWKAW DR NE, GRAND RAPIDS, MI 49525-6513
(248) 900-2166
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
MI
Other
Enumeration date
03/11/2026
Last updated
03/11/2026
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