Abigail K Rasore
Individual provider Active NPI Behavior Technician · Concard, CA
NPI 1457045528 · NPPES record last updated Jun 2, 2023
Key facts
- NPI
- 1457045528
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 1200 Concord Ave
#100
Concard, CA 94520 - Phone
- (510) 268-8120
- NPI assigned
- Jun 2, 2023
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
1200 Concord Ave
#100
Concard, CA 94520
Mailing address
1200 Concord Ave
#100
Concard, CA 94520
Other providers in Concard, CA
All providers in Concard, CA · Behavior Technician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 2, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.