Individual
JACQUELINE DANIELLE THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
210 ANTHONI AVE STE 300, WHEELING, WV 26003-6403
(304) 242-6722
Mailing address
136 STATION LN, WHEELING, WV 26003-9351
(304) 559-4571
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
23-317054
WV
Other
Enumeration date
02/01/2024
Last updated
02/01/2024
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