Individual
STEFAN A THOMPSON II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4736 ROYAL AVE, EUGENE, OR 97402-1755
(571) 385-7749
Mailing address
4736 ROYAL AVE, EUGENE, OR 97402-1755
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/05/2020
Last updated
07/14/2021
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