Individual
CRYSTAL THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
916 COX RD STE 201, GASTONIA, NC 28054-3496
(801) 935-4171
Mailing address
PO BOX 8544, PASADENA, CA 91109-8602
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/09/2021
Last updated
12/09/2021
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