MEDICARE: ABIGAIL DUVALLE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106S00000X	Behavior Technician
2	103K00000X	Behavior Analyst	5859	TX

General Provider Information

NPI Number	:	1366159170
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ABIGAIL DUVALLE

Provider Business Mailing Address
First Line	:	5700 S MOPAC EXPY STE C310
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78749-1461
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5700 S MOPAC EXPY STE C310
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78749-1461
Country	:	US
Telephone Number	:	512-628-7581
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/01/2022
Last Update Date	:	04/13/2026

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Directions to “ ABIGAIL DUVALLE ” Practice Location

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