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Individual

ABIGAIL SARAH LONGERBEAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.A., BCBA, LBA

Contact information

Practice address
1405 E BURNETT AVE, LOUISVILLE, KY 40217-1577
(502) 443-3836
Mailing address
2825 LEXINGTON ROAD SBTS BOX 1396, LOUISVILLE, KY 40280-0001
(703) 232-5265

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
106S00000X
Behavior Technician

Other

Enumeration date
05/24/2022
Last updated
11/01/2024
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