Individual
MR. DANIEL RAPHAEL THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6080 JERICHO TPKE STE 200, COMMACK, NY 11725-2808
(631) 864-7770
Mailing address
9 WOODLAWN AVE, CENTRAL ISLIP, NY 11722-2920
(718) 607-0433
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
02/05/2024
Last updated
02/05/2024
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