Individual
MRS. SHATIA SHARIE THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LBS
Contact information
Practice address
1086 HIGHWAY 315 BLVD, WILKES BARRE, PA 18702-7012
(570) 846-1025
Mailing address
1000 DARBY RD APT C63, PROSPECT PARK, PA 19076-2509
(516) 476-5987
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH005523
PA
Other
Enumeration date
09/16/2021
Last updated
09/16/2021
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