Individual
ABIGAEL LOUISE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9360 N NAME UNO STE 130, GILROY, CA 95020-3535
(408) 931-1230
Mailing address
510 WOODHAVEN CT, APTOS, CA 95003-5522
(408) 931-1230
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/25/2020
Last updated
06/01/2020
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