Individual
ABIGAIL ROMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
555 ANTON BLVD STE 150, COSTA MESA, CA 92626-7036
(805) 283-7280
Mailing address
555 ANTON BLVD STE 150, COSTA MESA, CA 92626-7036
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/27/2019
Last updated
02/27/2019
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