Individual
ABIGAIL VESTAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
904 MOUNTAIN LION CIR STE 500, HARKER HEIGHTS, TX 76548-5725
(254) 781-0094
Mailing address
27777 INKSTER RD STE 100, FARMINGTON HILLS, MI 48334-5326
(719) 466-4809
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-25-72854
TX
103K00000X
Behavior Analyst
19-86155
CO
106S00000X
Behavior Technician
—
—
Other
Enumeration date
05/28/2019
Last updated
06/05/2024
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