Individual
MARY THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
82 BALTIC RD, NORTH FRANKLIN, CT 06254-1402
(860) 823-7208
(860) 383-4632
Mailing address
82 BALTIC RD, NORTH FRANKLIN, CT 06254-1402
(860) 823-7208
(860) 383-4632
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
CT
Other
Enumeration date
02/17/2017
Last updated
02/17/2017
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