Individual
ASHLEY MARIAH ANGELE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED., BCBA
Contact information
Practice address
633 W NICKERSON ST APT 3, SEATTLE, WA 98119-1537
(206) 552-1816
Mailing address
633 W NICKERSON ST APT 3, APT 3, SEATTLE, WA 98119-1537
(206) 552-1816
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-12-10048
WA
Other
Enumeration date
04/17/2014
Last updated
04/17/2014
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