Individual
ABIGAIL LYNN ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1295 CORONA POINTE CT STE 102, CORONA, CA 92879-1721
(855) 223-7123
Mailing address
PO BOX 33568, SAN DIEGO, CA 92163-3568
(855) 223-7123
(619) 374-7134
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-24-77641
CA
106S00000X
Behavior Technician
00016462
CA
Other
Enumeration date
11/18/2022
Last updated
12/20/2024
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