Individual
ABIGAIL HOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1360 CADUCEUS WAY BUILDING 600, SUITE 101, WATKINSVILLE, GA 30677
(762) 499-3476
Mailing address
1360 CADUCEUS WAY BUILDING 600, SUITE 101, WATKINSVILLE, GA 30677
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/08/2023
Last updated
08/08/2023
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