Individual
COURTNEY TAYLOR THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
26116 STARLING HL, SAN ANTONIO, TX 78260-2461
(210) 630-8157
Mailing address
26116 STARLING HL, SAN ANTONIO, TX 78260-2461
(210) 630-8157
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BA-787-0
HI
103K00000X
Behavior Analyst
BACB398421
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006373
—
HI
01
—
BA-787-0
BCBA
HI
01
—
BCBA398421
BCBA
TX
Enumeration date
11/29/2021
Last updated
06/05/2024
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