Individual
ABBIE JACKSON ROY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3000 E BIRCH ST STE 102, BREA, CA 92821-6261
(310) 242-9119
Mailing address
3000 E BIRCH ST STE 102, BREA, CA 92821-6261
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/30/2025
Last updated
07/30/2025
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