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Individual

MISS ASHLEE MALLERY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BCBA

Contact information

Practice address
112 HEMLOCK LN, BLOOMSBURG, PA 17815-9105
(570) 394-0832
Mailing address
390 E GROVE ST, NANTICOKE, PA 18634-3538

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Enumeration date
02/21/2026
Last updated
02/21/2026
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