Tazaya Thompson, RBT
Behavior Technician in Columbus, GA. Individual provider (NPI-1).
NPI number1194339028
StatusActive
Last updated in NPPESSep 8, 2020
Details
- NPI
- 1194339028
- Entity type
- Individual (NPI-1)
- Name
- Tazaya Thompson
- Credential
- RBT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 8, 2020
- Certification date
- Sep 8, 2020
- Last updated
- Sep 8, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
1110 13th St Ste DColumbus, GA 31901-2246
Phone 706-780-1704
Mailing address
210 Tyler TrceGriffin, GA 30223-8786
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