Individual
AMANDA N SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
143 SUGAR MILL CIR, SAVANNAH, GA 31419-9431
(912) 785-9027
(877) 515-6711
Mailing address
143 SUGAR MILL CIR, SAVANNAH, GA 31419-9431
(912) 785-9027
(877) 515-6711
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-18-70086
GA
Other
Enumeration date
11/09/2018
Last updated
11/09/2018
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