Individual
ABISH TERAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BEHAVIOR TECHNICIAN
Contact information
Practice address
2535 CAMINO DEL RIO S STE 100, SAN DIEGO, CA 92108-3754
(800) 273-4292
(714) 596-6274
Mailing address
11037 WARNER AVE # 339, FOUNTAIN VALLEY, CA 92708-4007
(800) 273-4292
(714) 596-6274
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/14/2021
Last updated
06/16/2022
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