Individual
ABIGAIL BUCSIT EDORIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4700 SPRING ST STE 104, LA MESA, CA 91942-0272
(619) 782-0700
Mailing address
4700 SPRING ST STE 104, LA MESA, CA 91942-0272
(619) 782-0700
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
CA
106S00000X
Behavior Technician
RBT-18-60734
CA
Other
Enumeration date
07/24/2018
Last updated
07/21/2026
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