Individual
ABIGAIL CANCHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1730 E HOLLY AVE, EL SEGUNDO, CA 90245-4404
(844) 467-7763
Mailing address
1730 E HOLLY AVE, EL SEGUNDO, CA 90245-4404
(844) 467-7763
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/18/2019
Last updated
12/18/2019
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