Most Relevant Information
Provider Data
| NPI Number: | 1003670985 |
| Provider Name: | ABIGAIL SHOUN BCABA |
| Entity Type: | Individual |
| Taxonomy Code: | 106E00000X |
| Specialty: | Assistant Behavior Analyst |
| License Number: | 0134000543 |
Most Important Dates
| Enumeration Date: | 02/12/2024 |
| Last Updated: | 02/12/2024 |
Provider Practice Location
911 STURBRIDGE DR
NORTH CHESTERFIELD
VA
232363700
Practice Location Phone/Fax
| Phone: | 8048971753 |
| Fax: |
Provider Mailing Location
911 STURBRIDGE DR
NORTH CHESTERFIELD
VA
232363700
Provider Mailing Phone/Fax
| Phone: | 8048971753 |
| Fax: |