Keith Braxton Thompson

NPI #1720780182 in Kenova, West Virginia

Provider Information

NPI Number: 1720780182
Entity Type: Individual
Name: Keith Braxton Thompson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Mar 20, 2023
Last Updated: Mar 20, 2023

Practice Location

Address: 1401 CHESTNUT ST
City: Kenova
State: West Virginia
ZIP Code: 25530-1235
Phone: (304) 453-2800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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