Individual
LISA MARIE THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1065 MEDINA RD STE 300, MEDINA, OH 44256-5374
(330) 596-1042
Mailing address
1065 MEDINA RD STE 300, MEDINA, OH 44256-5374
(330) 596-1042
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
OH
106S00000X
Behavior Technician
—
—
Other
Enumeration date
08/13/2020
Last updated
08/13/2020
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