Individual
ANGELA THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3595 SAGAMORE PKWY N # 5, A, LAFAYETTE, IN 47904-1095
(317) 249-2242
Mailing address
3595 SAGAMORE PKWY N # 5, A, LAFAYETTE, IN 47904-1095
(317) 249-2242
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
11/12/2012
Last updated
12/10/2020
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