Individual
DERRIC THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2301 W DUNLAP AVE STE 206, PHOENIX, AZ 85021-2846
(480) 909-6847
Mailing address
2301 W DUNLAP AVE STE 206, PHOENIX, AZ 85021-2846
(480) 909-6847
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
12/09/2022
Last updated
12/09/2022
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