Individual
ALTHEA Y ABAQUETA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
18350 MOUNT LANGLEY ST, SUITE 105, FOUNTAIN VALLEY, CA 92708-6900
(714) 965-2324
Mailing address
18350 MOUNT LANGLEY ST, SUITE 105, FOUNTAIN VALLEY, CA 92708-6900
(714) 965-2324
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-03-1209
CA
Other
Enumeration date
01/19/2011
Last updated
01/19/2011
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