Individual
ABIGAIL JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCABA
Contact information
Practice address
401 BROADWAY AVE, PUEBLO, CO 81004-2127
(719) 425-7771
Mailing address
401 BROADWAY AVE, PUEBLO, CO 81004-2127
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-23-66882
CO
106E00000X
Assistant Behavior Analyst
0-22-13953
CO
Other
Enumeration date
05/19/2021
Last updated
07/14/2023
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