Individual
JACYNDA THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1150 N BROOME ST, WAXHAW, NC 28173-9378
(980) 529-7606
Mailing address
6409 PROVIDENCE FARM LN APT 7105, CHARLOTTE, NC 28277-7245
(623) 299-6531
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
4015
NC
Other
Enumeration date
03/04/2026
Last updated
03/04/2026
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