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Individual

ABBY ROSE DISNEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1022 JOHNATHAN DR, YUBA CITY, CA 95993-8112
(530) 813-2813
Mailing address
990 KLAMATH LN STE 20, YUBA CITY, CA 95993-8979
(916) 729-3098

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
10/15/2020
Last updated
10/15/2020
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