Individual
ABBIE BEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10134 6TH ST STE 1, RANCHO CUCAMONGA, CA 91730-5855
(909) 304-1039
Mailing address
10134 6TH ST STE 1, RANCHO CUCAMONGA, CA 91730-5855
(909) 304-1039
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/11/2024
Last updated
11/11/2024
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