Individual
AMANDA CAROL SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSE, BCBA
Contact information
Practice address
301 N MAIN ST STE 2434, WINSTON SALEM, NC 27101-3885
(336) 510-7910
Mailing address
1266 CAPER AVE, FOLEY, AL 36535-4734
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-20-40708
AR
103K00000X
Behavior Analyst
Primary
2325
NC
106S00000X
Behavior Technician
—
—
Other
Enumeration date
12/05/2019
Last updated
02/09/2026
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