Individual
ATIYYAH JASMIN THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
805 MAIN ST STE L, SUSANVILLE, CA 96130-4457
(424) 603-8377
Mailing address
1232 OAKHEATH DR, HARBOR CITY, CA 90710-1223
(424) 603-8377
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
46-0508169
CA
Other
Enumeration date
01/02/2019
Last updated
08/23/2023
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