Raegen Thompson

NPI #1972347656 in Normal, Illinois

Provider Information

NPI Number: 1972347656
Entity Type: Individual
Name: Raegen Thompson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Jun 19, 2024
Last Updated: Jun 19, 2024

Practice Location

Address: 1302 FRANKLIN AVE
City: Normal
State: Illinois
ZIP Code: 61761-3551
Phone: (309) 452-0069

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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