Individual
MR. ANTHONY BATISTE THOMPSON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, MAR, BCBC, BCCC
Contact information
Practice address
137 CHAPELWHITE ROAD, IRMO, SC 29063
(843) 628-0128
Mailing address
PO BOX 586, IRMO, SC 29063-0586
(843) 628-0128
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-17-31920
SC
Other
Enumeration date
04/27/2018
Last updated
04/27/2018
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