Individual
JENNIFER THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4171 LOMAC ST STE G, MONTGOMERY, AL 36106-2945
(334) 590-5163
Mailing address
4171 LOMAC ST STE G, MONTGOMERY, AL 36106-2945
(334) 590-5163
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-26-516627
AL
Other
Enumeration date
03/04/2026
Last updated
03/04/2026
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