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Ashley Bijan Malcom

Day Training/Habilitation Specialist in Orange, CA. Individual provider (NPI-1).

NPI number1548059629
StatusActive
Last updated in NPPESJul 22, 2025

Details

NPI
1548059629
Entity type
Individual (NPI-1)
Name
Ashley Bijan Malcom
Sex
Female
Sole proprietor
Yes
Enumeration date
May 5, 2025
Certification date
Jul 22, 2025
Last updated
Jul 22, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
373H00000X Day Training/Habilitation Specialist––Yes

Practice location

265 S Anita Dr Ste 102-104
Orange, CA 92868-3355

Phone 714-410-3505

Mailing address

265 S Anita Dr Ste 102-104
Orange, CA 92868-3355

Phone 714-410-3505

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