Individual
ABIGAIL BUSHNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4025 CAMINO DEL RIO S, SAN DIEGO, CA 92108-4107
(888) 805-0759
Mailing address
4025 CAMINO DEL RIO S STE 101, SAN DIEGO, CA 92108-4100
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/26/2020
Last updated
06/26/2020
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