Individual
ABIGAIL MARIE EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1300 ETHAN WAY SUITE 175, SACRAMENTO, CA 95825
(209) 521-4791
Mailing address
3425 COFFEE RD SUITE C2, MODESTO, CA 95355-1582
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/27/2018
Last updated
11/27/2018
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