Individual
AMANDA NICHOLE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BEHAVIOR ANALYST
Contact information
Practice address
1776 S WEST TEMPLE, SALT LAKE CITY, UT 84115-1816
(801) 214-1115
Mailing address
1776 S WEST TEMPLE, SALT LAKE CITY, UT 84115-1816
(801) 214-1115
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
07/25/2026
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