Most Relevant Information
Provider Data
| NPI Number: | 1003317009 |
| Provider Name: | MICHAEL JAMES THOMPSON BT |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 02/24/2018 |
| Last Updated: | 02/24/2018 |
Provider Practice Location
6301 MORAGA DR
CARMICHAEL
CA
956081128
Practice Location Phone/Fax
| Phone: | 9168672041 |
| Fax: |
Provider Mailing Location
3440 VIRADA RD APT 7A
CAMERON PARK
CA
956827907
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |