Individual
LISA THOMASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
334 PINION DR, MONTROSE, CO 81403-8412
(970) 596-8291
Mailing address
334 PINION DR., MONTROSE, CO 81403
(970) 596-8291
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-13-14980
CO
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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