Mickella Abbott
Behavior Technician in Orem, UT. Individual provider (NPI-1).
NPI number1750007589
StatusActive
Last updated in NPPESOct 13, 2022
Details
- NPI
- 1750007589
- Entity type
- Individual (NPI-1)
- Name
- Mickella Abbott
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 13, 2022
- Certification date
- Oct 6, 2022
- Last updated
- Oct 13, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
1140 W 1130 SSuite B
Orem, UT 84058
Phone 801-935-4171
Mailing address
16255 Ventura Blvd Ste 830Encino, CA 91436-2317
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