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Individual

ABYGAIL MARIE SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
631 RIVER OAKS PKWY, SAN JOSE, CA 95134-1907
(408) 914-9153
Mailing address
27 N 6TH ST APT 414, SAN JOSE, CA 95112-4132
(650) 797-5878

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
CA

Other

Enumeration date
11/19/2025
Last updated
11/19/2025
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