Individual
HOLLAND THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1512 GRAPEVINE RDG, PROSPER, TX 75078-1694
(469) 423-5658
Mailing address
1512 GRAPEVINE RDG, PROSPER, TX 75078-1694
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-19-38894
AZ
106S00000X
Behavior Technician
—
—
Other
Enumeration date
01/03/2018
Last updated
05/01/2024
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