Individual
VIRGINIA LYNN THAMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
128 E SHERMAN ST, BARTLETT, IL 60103-6518
(520) 282-3044
Mailing address
128 E SHERMAN ST, BARTLETT, IL 60103-6518
(520) 282-3044
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
05/24/2019
Last updated
05/24/2019
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