Most Relevant Information
Provider Data
| NPI Number: | 1003330853 |
| Provider Name: | SHELBY JADE THOMPSON |
| Entity Type: | Individual |
| Taxonomy Code: | 106E00000X |
| Specialty: | Assistant Behavior Analyst |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/02/2017 |
| Last Updated: | 09/20/2023 |
Provider Practice Location
27716 CASHFORD CIR
WESLEY CHAPEL
FL
335446962
Practice Location Phone/Fax
| Phone: | 8133742070 |
| Fax: |
Provider Mailing Location
9051 FLORIDA MINING BLVD STE 102
TAMPA
FL
336341240
Provider Mailing Phone/Fax
| Phone: | 8133742070 |
| Fax: |