Provider Demographics
NPI:1144891250
Name:ABING, AURA FRANCES GATMAITAN (EDM, NCSP, LEP)
Entity type:Individual
Prefix:
First Name:AURA FRANCES
Middle Name:GATMAITAN
Last Name:ABING
Suffix:
Gender:F
Credentials:EDM, NCSP, LEP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1443 41ST AVE
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94122-3033
Mailing Address - Country:US
Mailing Address - Phone:310-940-7990
Mailing Address - Fax:
Practice Address - Street 1:1443 41ST AVE
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94122-3033
Practice Address - Country:US
Practice Address - Phone:310-940-7990
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-09
Last Update Date:2021-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA3600103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool