Individual
ABEL AVILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2900 FRESNO ST FRESNO CA, FRESNO, CA 93636
(559) 479-2425
(559) 479-2425
Mailing address
12615 ROAD 20, MADERA, CA 93637-9035
(559) 123-4567
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
Y6320615
CA
Other
Enumeration date
08/06/2026
Last updated
08/06/2026
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