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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 6 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.

Request for update

Popular Providers