Provider Demographics
NPI:1164039178
Name:ROBISON, ABBEY (RBT)
Entity Type:Individual
Prefix:
First Name:ABBEY
Middle Name:
Last Name:ROBISON
Suffix:
Gender:M
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3214 BROKEN ROCK WAY
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:UT
Mailing Address - Zip Code:84780-7901
Mailing Address - Country:US
Mailing Address - Phone:435-200-9422
Mailing Address - Fax:435-200-9422
Practice Address - Street 1:230 N 1680 E
Practice Address - Street 2:
Practice Address - City:SAINT GEORGE
Practice Address - State:UT
Practice Address - Zip Code:84790-2579
Practice Address - Country:US
Practice Address - Phone:435-313-4571
Practice Address - Fax:435-200-9422
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-24
Last Update Date:2020-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst