Individual
MISS ABIGAIL ONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
23502 LYONS AVE STE 304A, NEWHALL, CA 91321-2538
(661) 702-0166
Mailing address
PO BOX 4616, SUNLAND, CA 91041-4616
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-19-84859
CA
Other
Enumeration date
05/09/2019
Last updated
05/09/2019
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