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Individual

DIANE LESLIE THOMPSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BCBA

Contact information

Practice address
205 15TH AVE SW STE A, PUYALLUP, WA 98371-7873
(206) 999-1387
(877) 682-9319
Mailing address
205 15TH AVE SW STE A, PUYALLUP, WA 98371-7873
(206) 999-1387
(877) 682-9319

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
WA
106S00000X
Behavior Technician

Other

Enumeration date
03/31/2019
Last updated
11/18/2022
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