Individual
KORBIN THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4490 HOLLAND OFFICE PARK, VIRGINIA BEACH, VA 23452-1177
(757) 639-2218
Mailing address
4490 HOLLAND OFFICE PARK, VIRGINIA BEACH, VA 23452-1177
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/12/2018
Last updated
01/12/2018
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