Individual
SHANNA LEE THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
800 FIELD AVE, CENTRALIA, WA 98531-3824
(360) 330-7641
Mailing address
135 RAVINA DR, CHEHALIS, WA 98532-9686
(360) 324-2584
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
1-16-24643
WA
Other
Enumeration date
03/09/2023
Last updated
03/09/2023
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