Individual
NICOLE ELIZABETH THOMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
214 W MAIN, PUYALLUP, WA 98371-5328
(253) 841-8700
Mailing address
214 W MAIN, PUYALLUP, WA 98371-5328
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
222Q00000X
Developmental Therapist
—
—
Other
Enumeration date
10/23/2010
Last updated
03/17/2018
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