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Melissa E Thomas

Behavior Technician in St Augustine, FL. Individual provider (NPI-1).

NPI number1265239503
StatusActive
Last updated in NPPESFeb 25, 2025

Details

NPI
1265239503
Entity type
Individual (NPI-1)
Name
Melissa E Thomas
Sex
Female
Sole proprietor
No
Enumeration date
Feb 25, 2025
Certification date
Feb 25, 2025
Last updated
Feb 25, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician–FLYes

Practice location

180 Center Place Way
St Augustine, FL 32095-8859

Phone 904-247-2179

Mailing address

89 Mercutio Ln
St Augustine, FL 32092-4528

Phone 631-252-2333

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