Individual
ABBY WAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1025 ATLANTIC AVE, ALAMEDA, CA 94501-1189
(510) 268-8120
Mailing address
1456 6TH AVE, SAN FRANCISCO, CA 94122-3811
(425) 905-5611
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
CA
Other
Enumeration date
11/25/2020
Last updated
11/25/2020
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