Most Relevant Information
Provider Data
| NPI Number: | 1003693409 |
| Provider Name: | ANDREA KRISTEN ABBOTT RBT |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: | RBT-22-229906 |
Most Important Dates
| Enumeration Date: | 09/11/2023 |
| Last Updated: | 09/11/2023 |
Provider Practice Location
115 W NASHVILLE DR
NASHVILLE
NC
278561284
Practice Location Phone/Fax
| Phone: | 9193750475 |
| Fax: |
Provider Mailing Location
125 N PROSPECT DR
CLAYTON
NC
275206249
Provider Mailing Phone/Fax
| Phone: | 5404353507 |
| Fax: |