Individual
ABBYGAIL LYNN MADAMBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
891 KUHN DR STE 110, CHULA VISTA, CA 91914-3551
(619) 864-7070
Mailing address
21600 OXNARD ST STE 1800, WOODLAND HILLS, CA 91367-7807
(818) 345-2345
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
F7404025
CA
Other
Enumeration date
10/19/2021
Last updated
10/19/2021
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