Individual
AMY SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
782 FOXRIDGE CENTER DR, ORANGE PARK, FL 32065-5776
(904) 228-6633
Mailing address
782 FOXRIDGE CENTER DR, ORANGE PARK, FL 32065-5776
(904) 637-1400
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/29/2022
Last updated
07/29/2022
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