Healthcare Provider Details

I. General information

NPI: 1578137907
Provider Name (Legal Business Name): ABIGAIL MAY FREISER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/19/2021
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3610 BUSH ST
RALEIGH NC
27609-7511
US

IV. Provider business mailing address

2400 BUCKWATER CT
RALEIGH NC
27615-8009
US

V. Phone/Fax

Practice location:
  • Phone: 984-204-1233
  • Fax: 984-459-9295
Mailing address:
  • Phone: 919-616-8494
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number2293
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: