Individual
MAGEN THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8474 TANGLEWOOD ST, HIGHLANDS RANCH, CO 80126-2023
(505) 508-6917
Mailing address
8474 TANGLEWOOD ST, HIGHLANDS RANCH, CO 80126-2023
(505) 508-6917
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
103K00000X
Behavior Analyst
Primary
1-16-24288
CO
Other
Enumeration date
06/04/2015
Last updated
12/19/2016
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