Individual
CHARITY MCKENZIE THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
6985 NEXUS CT STE 107, FAYETTEVILLE, NC 28304-3186
(910) 493-3999
Mailing address
6985 NEXUS CT STE 107, FAYETTEVILLE, NC 28304-3186
(910) 493-3999
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000032567521
—
NC
Enumeration date
10/27/2022
Last updated
10/27/2022
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