Individual
ABIGAIL ROSE BROCKHOFT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
225 CEDAR HILL ST STE 200, MARLBOROUGH, MA 01752-5900
(470) 455-6587
Mailing address
1873 ARBOR SPRINGS WAY, BUFORD, GA 30519-2284
(404) 429-4614
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NA
—
GA
Enumeration date
08/11/2022
Last updated
08/11/2022
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