Individual
ABIGAIL CORDOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12330 PELLICANO DRIVE SUITE B, EL PASO, TX 79936
(915) 613-5255
Mailing address
12330 PELLICANO DRIVE SUITE B, EL PASO, TX 79936
(915) 613-5255
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-284682
NC
Other
Enumeration date
07/24/2023
Last updated
11/07/2024
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