IndividualActive
Amanda Smith
NPI 1811544414 · Behavior Technician · Idaho Falls, ID
Provider details
- NPI number
- 1811544414
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
105 Clubhouse Cir Apt 102
Idaho Falls, ID 83401-4328
Phone: (208) 709-6986
Approximate (ZIP-level) locationGet directions
Mailing address
105 Clubhouse Cir Apt 102
Idaho Falls, ID 83401-4328
Registry dates
- Enumerated
- 2019-08-20
- Last updated
- 2019-08-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.