Individual
AMANDA NICHOLE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BEHAVIOR ANALYST
Contact information
Practice address
2940 N CHURCH ST STE 204, LAYTON, UT 84040-6616
(801) 935-4171
Mailing address
515 S 700 E STE 2A, SLC, UT 84102-2855
(801) 808-6552
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
10208358-2506
UT
104100000X
Social Worker
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
04/01/2013
Last updated
06/07/2021
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