Provider Demographics
NPI:1144811605
Name:BENTZEL, ABIGAIL (MS, BCBA)
Entity type:Individual
Prefix:
First Name:ABIGAIL
Middle Name:
Last Name:BENTZEL
Suffix:
Gender:F
Credentials:MS, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:150 LISTER LN
Mailing Address - Street 2:
Mailing Address - City:MAGGIE VALLEY
Mailing Address - State:NC
Mailing Address - Zip Code:28751-7658
Mailing Address - Country:US
Mailing Address - Phone:828-817-5068
Mailing Address - Fax:
Practice Address - Street 1:150 LISTER LN
Practice Address - Street 2:
Practice Address - City:MAGGIE VALLEY
Practice Address - State:NC
Practice Address - Zip Code:28751-7658
Practice Address - Country:US
Practice Address - Phone:828-817-5068
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-28
Last Update Date:2021-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst