Individual
AMBER LEIGH SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
171 CANAL BLVD, PONTE VEDRA BEACH, FL 32082-3607
(904) 834-7581
Mailing address
171 CANAL BLVD, PONTE VEDRA BEACH, FL 32082-3607
(904) 834-7581
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-23-66230
FL
106S00000X
Behavior Technician
—
—
Other
Enumeration date
01/10/2020
Last updated
06/16/2023
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