Provider Demographics
NPI:1841666211
Name:SMEESTER, ASHLEY RYAN (BCBA)
Entity type:Individual
Prefix:MS
First Name:ASHLEY
Middle Name:RYAN
Last Name:SMEESTER
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:ASHLEY SMEESTER
Mailing Address - Street 2:1375 E GRAND AVE SUITE 103-573
Mailing Address - City:ARROYO GRANDE
Mailing Address - State:CA
Mailing Address - Zip Code:93420
Mailing Address - Country:US
Mailing Address - Phone:805-888-7212
Mailing Address - Fax:
Practice Address - Street 1:ASHLEY SMEESTER
Practice Address - Street 2:1941 OCEAN ST
Practice Address - City:OCEANO
Practice Address - State:CA
Practice Address - Zip Code:93445
Practice Address - Country:US
Practice Address - Phone:805-888-7212
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-08-19
Last Update Date:2022-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1-11-9567103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst