Provider Demographics
NPI:1881166064
Name:ABBE, AMBER VANESSA (BCBA)
Entity type:Individual
Prefix:
First Name:AMBER
Middle Name:VANESSA
Last Name:ABBE
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 1:11350 BALCONES DR
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75033-7378
Mailing Address - Country:US
Mailing Address - Phone:972-322-5513
Mailing Address - Fax:
Practice Address - Street 1:11350 BALCONES DR
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75033-7378
Practice Address - Country:US
Practice Address - Phone:972-322-5513
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-12-28
Last Update Date:2018-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst