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Individual

ABIGAIL B LIPTAK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2202 MANDARIN LOOP, DUNDEE, FL 33838-4387
(833) 869-2423
Mailing address
106 COLLEEN CT, AUBURNDALE, FL 33823-2139
(407) 690-6953

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
BCBA
RBT
FL
Enumeration date
09/08/2023
Last updated
09/08/2023
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