Provider Demographics
NPI:1881489144
Name:TUTOR, ABIGAIL MCKENIZE (BT)
Entity type:Individual
Prefix:MRS
First Name:ABIGAIL
Middle Name:MCKENIZE
Last Name:TUTOR
Suffix:
Gender:
Credentials:BT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1071 JONES ST
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28540-3559
Mailing Address - Country:US
Mailing Address - Phone:662-934-2062
Mailing Address - Fax:
Practice Address - Street 1:1071 JONES ST
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28540-3559
Practice Address - Country:US
Practice Address - Phone:662-934-2062
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-09
Last Update Date:2025-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician