Individual
AMY THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
855 LONGIVEW LANE, GAP, PA 17527
(484) 401-0608
Mailing address
855 LONGVIEW LN, GAP, PA 17527-9637
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
001867
PA
Other
Enumeration date
10/20/2014
Last updated
10/20/2014
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