Individual
ABIGAIL DAVILA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT-24-367135
Contact information
Practice address
1234 REYNOLDS RD LOT 284, LAKELAND, FL 33801-6453
(863) 347-4784
Mailing address
1234 REYNOLDS RD LOT 284, LAKELAND, FL 33801-6453
(863) 347-4784
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-367135
FL
Other
Enumeration date
08/23/2024
Last updated
08/23/2024
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