Tyler James Thompson
Behavior Technician in Carlsbad, CA. Individual provider (NPI-1).
NPI number1114733482
StatusActive
Last updated in NPPESDec 10, 2024
Details
- NPI
- 1114733482
- Entity type
- Individual (NPI-1)
- Name
- Tyler James Thompson
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 10, 2024
- Certification date
- Dec 10, 2024
- Last updated
- Dec 10, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
2928 Jefferson St Ste 100Carlsbad, CA 92008-2374
Phone 855-223-7123 · Fax 619-374-7134
Mailing address
Po Box 33568San Diego, CA 92163-3568
Phone 855-223-7123 · Fax 619-374-7134
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