Individual
LAUREN THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
300 W SWANSON AVE, WASILLA, AK 99654-6844
(907) 357-0809
Mailing address
3750 E BAYLOR CIR, WASILLA, AK 99654-4543
(907) 202-1850
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/13/2020
Last updated
11/13/2020
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