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Pamela Thomas, RBT

Behavior Technician in Dixon, IL. Individual provider (NPI-1).

NPI number1619795697
StatusActive
Last updated in NPPESSep 30, 2024

Details

NPI
1619795697
Entity type
Individual (NPI-1)
Name
Pamela Thomas
Credential
RBT
Sex
Female
Sole proprietor
Yes
Enumeration date
Sep 30, 2024
Certification date
Sep 30, 2024
Last updated
Sep 30, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior TechnicianRBT-24-380785ILYes

Practice location

1319 N Galena Ave
Dixon, IL 61021-1009

Phone 815-440-6134 · Fax 855-620-0303

Mailing address

1319 N Galena Ave
Dixon, IL 61021-1009

Phone 815-440-6134 · Fax 855-620-0303

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