Individual
ASHLEY AMANDA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
20 PARKWAY BLVD, HATTIESBURG, MS 39401-8879
(601) 255-5264
Mailing address
20 PARKWAY BLVD, HATTIESBURG, MS 39401-8879
(601) 255-5264
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
MS
Other
Enumeration date
08/04/2015
Last updated
08/04/2015
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