Individual
CHANIELL D THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ABT
Contact information
Practice address
6424 SHADOW CT, DOUGLASVILLE, GA 30134-1412
(951) 441-9627
Mailing address
DEPTLA 22763, PASADENA, CA 91185-2763
(866) 523-4268
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
01/11/2022
Last updated
01/11/2022
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