Provider Demographics
NPI:1376802553
Name:ABEYTA, TERESA M (MS, BCBA)
Entity Type:Individual
Prefix:MRS
First Name:TERESA
Middle Name:M
Last Name:ABEYTA
Suffix:
Gender:F
Credentials:MS, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:2536 RIMROCK AVE STE 400-126
Mailing Address - Street 2:
Mailing Address - City:GRAND JUNCTION
Mailing Address - State:CO
Mailing Address - Zip Code:81505-8669
Mailing Address - Country:US
Mailing Address - Phone:970-314-7008
Mailing Address - Fax:970-639-7395
Practice Address - Street 1:2536 RIMROCK AVE STE 400-126
Practice Address - Street 2:
Practice Address - City:GRAND JUNCTION
Practice Address - State:CO
Practice Address - Zip Code:81505-8669
Practice Address - Country:US
Practice Address - Phone:970-314-7008
Practice Address - Fax:970-639-7395
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-09
Last Update Date:2022-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1-20-44586103K00000X, 103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst