Individual
CODY THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6874 S ULSTER CIR, CENTENNIAL, CO 80112-1364
(720) 755-2207
Mailing address
6874 S ULSTER CIR, CENTENNIAL, CO 80112-1364
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-159058
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RBT-21-159058
BACB
CO
Enumeration date
03/09/2021
Last updated
03/09/2021
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