Individual
ABIGAIL VERGARA JIMENEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9390 PRADERA AVE APT 2, MONTCLAIR, CA 91763-1846
(909) 319-1239
Mailing address
9390 PRADERA AVE APT 2, MONTCLAIR, CA 91763-1846
(909) 319-1239
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/22/2022
Last updated
01/22/2022
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