Provider Demographics
NPI:1497511836
Name:HALL, ABIGAIL ANN (BCBA)
Entity Type:Individual
Prefix:MRS
First Name:ABIGAIL
Middle Name:ANN
Last Name:HALL
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9860 WILD GINGER DR
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75072-2849
Mailing Address - Country:US
Mailing Address - Phone:214-476-3757
Mailing Address - Fax:
Practice Address - Street 1:6301 CAMPUS CIRCLE DR E STE 110
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75063-2705
Practice Address - Country:US
Practice Address - Phone:214-935-3688
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-23
Last Update Date:2024-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst