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Organization
MICHAEL J THOMAS ENTERPRISE LLC
Active
Organization
MICHAEL J THOMAS ENTERPRISE LLC
Active
Other names
ABC Behavior
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL THOMAS (CEO)
(337) 377-7667
Entity
Organization
Contact information
Practice address
2529 19TH ST, LAKE CHARLES, LA 70601-8143
(337) 377-7667
Mailing address
2529 19TH ST, LAKE CHARLES, LA 70601-8143
(337) 377-7667
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20-07179114
—
LA
Enumeration date
12/17/2019
Last updated
12/17/2019
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