Individual
ABIGAILE WHITAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
15489 DEDEAUX RD, GULFPORT, MS 39503-2667
(228) 357-5671
Mailing address
15489 DEDEAUX RD, GULFPORT, MS 39503-2667
(228) 357-5671
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
24-370879
MS
Other
Enumeration date
02/05/2025
Last updated
02/05/2025
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