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NPI Code Detail

MEDICARE: ABIGAIL FANNIN BCBA

MEDICARE: ABIGAIL FANNIN BCBA
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
1103K00000XBehavior Analyst1137TX
2103K00000XBehavior Analyst1-11-9701TX

General Provider Information

NPI Number : 1427462571
Entity Type Code : Individual
Provider Name (Legal Business Name) : ABIGAIL FANNIN BCBA
Provider Business Mailing Address
First Line : 29423 FOX RUN BLVD
Second Line :
City : SPRING
State : TX
Zip : 77386-2497
Country : US
Telephone Number : 832-971-7066
Fax Number :
Provider Business Practice Location Address
First Line : 17325 RED OAK DR
Second Line :
City : HOUSTON
State : TX
Zip : 77090-1243
Country : US
Telephone Number : 346-339-8103
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/17/2014
Last Update Date : 04/28/2026

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Directions to “ ABIGAIL FANNIN BCBA” Practice Location

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