Provider Demographics
NPI:1942977483
Name:WOODS, ABIGAIL PAGE (MA BCBA)
Entity Type:Individual
Prefix:
First Name:ABIGAIL
Middle Name:PAGE
Last Name:WOODS
Suffix:
Gender:F
Credentials:MA BCBA
Other - Prefix:
Other - First Name:ABBY
Other - Middle Name:PAGE
Other - Last Name:WOODS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:293 PAVONIA CIR
Mailing Address - Street 2:
Mailing Address - City:MARLTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08053-5913
Mailing Address - Country:US
Mailing Address - Phone:931-841-5085
Mailing Address - Fax:
Practice Address - Street 1:923 HADDONFIELD RD STE 300
Practice Address - Street 2:
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08002-2752
Practice Address - Country:US
Practice Address - Phone:732-654-6650
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-24
Last Update Date:2023-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician