Individual
AMANDA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14950 W 64TH AVE, ARVADA, CO 80007-8290
(720) 642-7019
Mailing address
8787 W ALAMEDA AVE, LAKEWOOD, CO 80226-2824
(214) 709-7299
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/22/2021
Last updated
07/22/2021
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