Individual
AMELIA LALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1880 PRUNERIDGE AVE, SANTA CLARA, CA 95050-6514
(650) 622-9601
Mailing address
1880 PRUNERIDGE AVE, SANTA CLARA, CA 95050-6514
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110026265
—
MA
Enumeration date
09/07/2011
Last updated
04/25/2024
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