Individual
ABIGAIL FARAONI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
950 E STATE HIGHWAY 114 STE 160, SOUTHLAKE, TX 76092-5261
(949) 401-3931
(888) 403-6922
Mailing address
950 E STATE HIGHWAY 114 STE 160, SOUTHLAKE, TX 76092-5261
(949) 401-3931
(888) 403-6922
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
23-263299
TX
Other
Enumeration date
06/01/2023
Last updated
06/01/2023
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