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Individual
STACI THOMAS
Active
Individual
STACI THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
17-37585
TX
3747A0650X
Attendant Care Provider
—
—
Other
Enumeration date
08/14/2018
Last updated
09/06/2025
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