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Individual

ABBY SONNENTAG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
612 S MYRTLE AVE STE 100, MONROVIA, CA 91016-3406
(909) 689-4135
Mailing address
976 W ARROW HWY UNIT D, UPLAND, CA 91786-7410
(909) 524-2385

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
01/30/2020
Last updated
01/30/2020
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