Individual
SHANEE NIKITA THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3814 12TH ST NE, WASHINGTON, DC 20017-2630
(202) 656-9059
Mailing address
13159 LARCHDALE RD APT 5, LAUREL, MD 20708-1703
(571) 655-1695
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/16/2021
Last updated
08/16/2021
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