Individual
AMANDA THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1112 S BROADWAY, SANTA MARIA, CA 93454-6608
(805) 979-9941
(805) 222-3041
Mailing address
1112 S BROADWAY, SANTA MARIA, CA 93454-6608
(805) 979-9941
(805) 222-3041
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-16-21943
CA
Other
Enumeration date
04/14/2016
Last updated
04/14/2016
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