Individual
AMANDA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
713 W COMMONWEALTH AVE, SUITE A, FULLERTON, CA 92832-1662
(714) 879-4274
(714) 879-4272
Mailing address
713 W COMMONWEALTH AVE, SUITE A, FULLERTON, CA 92832-1662
(714) 879-4274
(714) 879-4272
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-07-3675
CA
Other
Enumeration date
01/09/2014
Last updated
01/09/2014
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