Individual
MR. CHRISTOPHER H THIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
4575 SE DIXIE HWY, STUART, FL 34997-6826
(886) 832-6727
(772) 675-9100
Mailing address
134 VASSAR DR, LAKE WORTH, FL 33460-6357
(561) 706-4256
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-03-1188
FL
Other
Enumeration date
08/13/2013
Last updated
08/14/2013
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