Smith, Amanda Rae
Smith, Amanda Rae is an sole proprietor health care provider with primary practice located at 105 Clubhouse Cir Apt 102 , Idaho Falls ID 83401-4328. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Smith, Amanda Rae can be contacted via phone (208) 709-6986.Contact Information
Primary practice address
105 Clubhouse Cir Apt 102
Idaho Falls ID 83401-4328
Phone: (208) 709-6986
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X |
Profile Details
| NPI number | 1811544414 |
|---|---|
| LBN Legal business name | Smith, Amanda Rae |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 20th, 2019 |
| Last updated | Aug 20th, 2019 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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