Individual
ABIGAIL MARIE CARRILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
620 N ROBINSON DR, ROBINSON, TX 76706-5312
(254) 732-2262
Mailing address
620 N ROBINSON DR, ROBINSON, TX 76706-5312
(254) 732-2262
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BACB538281
TX
Other
Enumeration date
07/14/2021
Last updated
01/28/2025
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