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Individual

AISHA LASHA THOMPSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
5301 NW 25TH CT, 202, LAUDERHILL, FL 33313
(954) 696-1956
Mailing address
5301 NW 25TH CT, 202, LAUDERHILL, FL 33313
(954) 696-1956

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
08/29/2017
Last updated
08/29/2017
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