Imani Tiney Thomas
NPI #1720748890 in Spring Lake, North Carolina
Provider Information
- NPI Number
- 1720748890
- Entity Type
- Individual
- Name
- Imani Tiney Thomas
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Behavior Technician
- Enumeration Date
- Dec 30, 2021
- Last Updated
- Mar 22, 2022
Practice Location
- Address
- 1018 N BRAGG BLVD
- City
- Spring Lake
- State
- North Carolina
- ZIP Code
- 28390-3316
- Phone
- (910) 295-2609
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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