Healthcare Provider Details

I. General information

NPI: 1861347130
Provider Name (Legal Business Name): UNIQUE THOMAS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/03/2026
Last Update Date: 03/03/2026
Certification Date: 03/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4700 SPRING ST
LA MESA CA
91942-0263
US

IV. Provider business mailing address

1429 MEADOW DR
NATIONAL CITY CA
91950-5246
US

V. Phone/Fax

Practice location:
  • Phone: 833-879-4274
  • Fax:
Mailing address:
  • Phone: 619-634-0099
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: