Individual
MRS. AMBER MENDRES SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, BCBA
Contact information
Practice address
137 KENTUCKY AVE, PASADENA, MD 21122-5400
(443) 305-2276
(443) 817-2375
Mailing address
137 KENTUCKY AVE, PASADENA, MD 21122-5400
(443) 305-2276
(443) 817-2375
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-10-6784
MD
Other
Enumeration date
11/25/2012
Last updated
11/25/2012
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