NPI 1699277210 · live from the CMS NPI Registry
Tace Lyn Abbott
Behavior Analyst in Folsom, CA. National Provider Identifier 1699277210, active.
NPI record
| NPI | 1699277210 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 1145 Sibley St, Folsom, CA 95630 |
| Practice phone | 916-542-4848 |
| Mailing address | 21600 Oxnard St Ste 1800, Woodland Hills, CA 91367 |
| Enumerated | February 28, 2018 |
| Last updated | February 28, 2018 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.