Individual
SAMANTHA THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1928 N 2753RD RD, OTTAWA, IL 61350-9703
(815) 343-3293
Mailing address
424 HERITAGE LN, OTTAWA, IL 61350-4798
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
IL
106S00000X
Behavior Technician
—
—
Other
Enumeration date
08/04/2021
Last updated
04/03/2025
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