Individual
AMANDA KERI SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
26 STERLING RD, AGAWAM, MA 01001-2710
(413) 297-7710
Mailing address
26 STERLING RD, AGAWAM, MA 01001-2710
(413) 297-7710
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/07/2023
Last updated
11/07/2023
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