Individual
DWAYNE THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1620 HARRISON AVE, CINCINNATI, OH 45214-1410
(513) 471-4673
(513) 737-1107
Mailing address
100 CROWNE POINT PL, CINCINNATI, OH 45241-5427
(513) 743-7628
(513) 737-1107
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
11/11/2022
Last updated
11/16/2023
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