Healthcare Provider Details

I. General information

NPI: 1881077089
Provider Name (Legal Business Name): ABBY R DUFFY M.ED., BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/07/2015
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

107 LITTLE FOX LN
FLETCHER NC
28732-5632
US

IV. Provider business mailing address

107 LITTLE FOX LN
FLETCHER NC
28732-5632
US

V. Phone/Fax

Practice location:
  • Phone: 610-217-0957
  • Fax:
Mailing address:
  • Phone: 442-317-0084
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number0133000606
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: