Individual
MS. ABBEY NICOLE MYATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9685 VIA EXCELENCIA STE 102, SAN DIEGO, CA 92126-7500
(619) 369-5050
Mailing address
15250 AVENUE OF SCIENCE, SAN DIEGO, CA 92128-3406
(559) 903-0848
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-334979
CA
Other
Enumeration date
07/26/2024
Last updated
05/07/2025
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