Individual
ELLIS GRANT THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
1313 NE 134TH ST STE 110, VANCOUVER, WA 98685-2721
(360) 518-6249
Mailing address
5502 NE 74TH AVE, VANCOUVER, WA 98662-6386
(206) 854-1829
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-14-10323
—
Other
Enumeration date
04/29/2015
Last updated
06/03/2019
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