Individual provider · NPI-1

Patricia Nicole Abad

Behavior Technician · Gardena, CA

NPI number1902566904
StatusActive
Last updated in NPPESDec 28, 2021

Details

NPI
1902566904
Entity type
Individual (NPI-1)
Name
Patricia Nicole Abad
Sex
Female
Sole proprietor
No
Enumeration date
Dec 18, 2021
Certification date
Dec 28, 2021
Last updated
Dec 28, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician–CAYes

Practice location

1149 W 190th St Ste 2200
Gardena, CA 90248-4344

Phone 310-856-0800 · Fax 855-568-2494

Mailing address

18726 S Western Ave
Gardena, CA 90248-3813

Phone 310-856-0800 · Fax 855-568-2494

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