Individual
ASHLEY ROBERT DAMAJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, BCBA
Contact information
Practice address
2851 CATALPA ST, NEWPORT BEACH, CA 92660-3220
(949) 293-8711
Mailing address
2851 CATALPA ST, NEWPORT BEACH, CA 92660-3220
(949) 293-8711
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
011519370
—
103K00000X
Behavior Analyst
0135257
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
011519370
BACB
—
Enumeration date
09/19/2014
Last updated
01/05/2021
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