Individual
AMBER PRESA-SMALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1642 N VOLUSIA AVE STE 201, ORANGE CITY, FL 32763-3850
(386) 878-2400
Mailing address
1642 N VOLUSIA AVE STE 201, ORANGE CITY, FL 32763-3850
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
S
—
FL
Enumeration date
05/01/2019
Last updated
09/23/2020
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