Individual
AMANDA MELBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7326 N GREELEY AVE, PORTLAND, OR 97217-5244
(619) 384-3832
(503) 285-5332
Mailing address
7326 N GREELEY AVE, PORTLAND, OR 97217-5244
(619) 384-3832
(503) 285-5332
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-12-10137
FL
Other
Enumeration date
05/30/2013
Last updated
01/12/2015
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