Individual
ABIGAIL GABRIELLA PANTHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5121 KINGDOM WAY STE 100, RALEIGH, NC 27607-6063
(919) 743-0204
Mailing address
1107 JEFFERSON ST, BOYDTON, VA 23917-3313
(434) 265-6184
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/07/2022
Last updated
06/07/2022
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