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Individual

ABIGAIL MAGINN SOFFERA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1455 OLD ALABAMA RD STE 195, ROSWELL, GA 30076-2129
(678) 940-1367
Mailing address
3500 DEPAUW BLVD STE 3070, INDIANAPOLIS, IN 46268-6135
(855) 324-0885

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-20-44531
GA
106S00000X
Behavior Technician

Other

Enumeration date
01/04/2018
Last updated
12/18/2020
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