Individual
SAMANTHA THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5943 STADIUM DR, KALAMAZOO, MI 49009-3016
(269) 389-9102
Mailing address
41521 W 11 MILE RD, NOVI, MI 48375-1803
(248) 912-1640
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
09/10/2018
Last updated
06/21/2021
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