Provider Demographics
NPI:1336864537
Name:TEKIE, ABBY ABERASH (BCBA)
Entity Type:Individual
Prefix:
First Name:ABBY
Middle Name:ABERASH
Last Name:TEKIE
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 1:127 N DOHENY DR APT 6
Mailing Address - Street 2:
Mailing Address - City:WEST HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90048-2809
Mailing Address - Country:US
Mailing Address - Phone:310-634-4444
Mailing Address - Fax:
Practice Address - Street 1:127 N DOHENY DR APT 6
Practice Address - Street 2:
Practice Address - City:WEST HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:90048-2809
Practice Address - Country:US
Practice Address - Phone:310-634-4444
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-10
Last Update Date:2022-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1-22-61829103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst