Individual
AMALEAH BLACK-SMILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA, RSME, GCFP
Contact information
Practice address
300 E HERSEY ST, ASHLAND, OR 97520-5200
(541) 414-7830
Mailing address
300 E HERSEY ST, ASHLAND, OR 97520-5200
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
08/10/2016
Last updated
08/15/2016
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