Individual
ASHLEY MICHELE DANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
APC009356
GA
106S00000X
Behavior Technician
RBT-22-209655
GA
Other
Enumeration date
04/05/2022
Last updated
10/26/2023
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