Individual
CASSANDRA THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
225 JOHNSON RD APT 37A, FOREST PARK, GA 30297-2863
(856) 417-4149
Mailing address
225 JOHNSON RD APT 37A, FOREST PARK, GA 30297-2863
(856) 417-4149
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/03/2023
Last updated
11/03/2023
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