Individual
ABIGAIL BUCSIT EDORIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
264 LANDIS AVE STE 200, CHULA VISTA, CA 91910-2651
(619) 997-6851
Mailing address
16782 VON KARMAN AVE STE 11, IRVINE, CA 92606-2417
(855) 223-7123
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-18-60734
CA
Other
Enumeration date
07/24/2018
Last updated
07/24/2018
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