Individual
KATHRYN ABRAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1400 E SOUTHERN AVE STE 735, TEMPE, AZ 85282-5699
(480) 804-0326
Mailing address
15444 N BLACKBIRD DR, FOUNTAIN HILLS, AZ 85268-2223
(612) 209-6776
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
175T00000X
Peer Specialist
—
—
Other
Enumeration date
06/13/2019
Last updated
06/13/2019
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