Individual
COURTLAND J THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
1010 N HANCOCK ST, PHILADELPHIA, PA 19123-2334
(812) 972-8890
Mailing address
207 MULBERRY ST APT 38, HARRISBURG, PA 17104-3507
(812) 972-8890
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
RBT-17-35665
IN
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/19/2019
Last updated
02/18/2021
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