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NPI Code Detail

MEDICARE: PASSIONA LA'VELLE THOMPSON RBT

MEDICARE:   PASSIONA LA'VELLE THOMPSON  RBT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior TechnicianRBT-17-3542TX

General Provider Information

NPI Number : 1821574559
Entity Type Code : Individual
Provider Name (Legal Business Name) : PASSIONA LA'VELLE THOMPSON RBT
Provider Business Mailing Address
First Line : 3552 FM 1092
Second Line :
City : MISSOURI CITY
State : TX
Zip : 77459
Country : US
Telephone Number : 346-368-4412
Fax Number :
Provider Business Practice Location Address
First Line : 3552 FM 1092 RD
Second Line :
City : MISSOURI CITY
State : TX
Zip : 77459
Country : US
Telephone Number : 346-368-4412
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/16/2018
Last Update Date : 07/16/2018

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Directions to “ PASSIONA LA'VELLE THOMPSON RBT” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.