Individual
ABIGAIL MANCILLA CORDOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5180 W ATLANTIC AVE STE 112, DELRAY BEACH, FL 33484-8103
(561) 674-9996
Mailing address
5180 W ATLANTIC AVE STE 112, DELRAY BEACH, FL 33484-8103
(561) 674-9996
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/09/2021
Last updated
04/09/2021
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