Most Relevant Information
Provider Data
| NPI Number: | 1003474446 |
| Provider Name: | STARLA THOMPSON |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/31/2019 |
| Last Updated: | 05/31/2019 |
Provider Practice Location
2800 STONECREEK DR
SACRAMENTO
CA
958331634
Practice Location Phone/Fax
| Phone: | 9163636103 |
| Fax: | 9162440594 |
Provider Mailing Location
9755 LINCOLN VILLAGE DR
SACRAMENTO
CA
958273334
Provider Mailing Phone/Fax
| Phone: | 9163636103 |
| Fax: | 9162440594 |