Individual
DANIEL THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
20818 44TH AVE W STE 270, LYNNWOOD, WA 98036-7709
(425) 673-6911
(425) 712-0641
Mailing address
20818 44TH AVE W STE 270, LYNNWOOD, WA 98036-7709
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
CB61219042
WA
Other
Enumeration date
09/14/2021
Last updated
09/14/2021
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