Individual provider · NPI-1
Amata Abatcha
Behavior Technician · Walnut Creek, CA
NPI number1508589391
StatusActive
Last updated in NPPESSep 26, 2022
Details
- NPI
- 1508589391
- Entity type
- Individual (NPI-1)
- Name
- Amata Abatcha
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 26, 2022
- Certification date
- Sep 26, 2022
- Last updated
- Sep 26, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | 1104368844 | CA | Yes |
Practice location
710 S Broadway Ste 250Walnut Creek, CA 94596-5234
Phone 925-913-0269
Mailing address
710 S Broadway Ste 250Walnut Creek, CA 94596-5234
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