Provider Demographics
NPI:1952098170
Name:FIGUEROA, ABIGAIL LEANN
Entity Type:Individual
Prefix:
First Name:ABIGAIL
Middle Name:LEANN
Last Name:FIGUEROA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:674 S TRADITION ST
Mailing Address - Street 2:
Mailing Address - City:MOUNTAIN HOUSE
Mailing Address - State:CA
Mailing Address - Zip Code:95391-1003
Mailing Address - Country:US
Mailing Address - Phone:209-831-0326
Mailing Address - Fax:
Practice Address - Street 1:2804 ROMER BLVD
Practice Address - Street 2:
Practice Address - City:POLLOCK PINES
Practice Address - State:CA
Practice Address - Zip Code:95726-9242
Practice Address - Country:US
Practice Address - Phone:916-931-3270
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-18
Last Update Date:2023-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician