Provider Demographics
NPI:1972986438
Name:HANKS, ABIGAIL EARLENE LLOYD (BCBA)
Entity type:Individual
Prefix:
First Name:ABIGAIL
Middle Name:EARLENE LLOYD
Last Name:HANKS
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3645 PERADA DR
Mailing Address - Street 2:
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94598-2743
Mailing Address - Country:US
Mailing Address - Phone:925-899-5221
Mailing Address - Fax:
Practice Address - Street 1:2092 OMEGA RD
Practice Address - Street 2:
Practice Address - City:SAN RAMON
Practice Address - State:CA
Practice Address - Zip Code:94583-1230
Practice Address - Country:US
Practice Address - Phone:801-735-3252
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-07-02
Last Update Date:2017-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT1-15-18351103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst