Individual
ABIGAIL MARIE TANNEHILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5820 STONERIDGE MALL RD STE 205, PLEASANTON, CA 94588-3347
(877) 418-2978
Mailing address
1811 GRAND CANAL BLVD STE 2, STOCKTON, CA 95207-8107
(877) 418-2978
(866) 500-2186
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
CA
Other
Enumeration date
02/12/2021
Last updated
03/26/2021
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