Individual
DEMISHA THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
100 GRACE HOPPER LN STE 3700, AUGUSTA, GA 30901-0010
(800) 356-4049
(941) 485-0519
Mailing address
PO BOX 631278, CINCINNATI, OH 45263-1278
(800) 356-4049
(941) 485-0519
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-24-75729
GA
106S00000X
Behavior Technician
RBT-21-197846
GA
Other
Enumeration date
12/24/2021
Last updated
10/03/2024
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