Individual
ABIGAIL WALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
424 CENTRAL AVE STE 2, WESTFIELD, NJ 07090-2561
(732) 204-1635
Mailing address
3 VISTA ROSSI, OXFORD, NJ 07863-3252
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/17/2023
Last updated
05/17/2023
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