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NPI Code Detail

MEDICARE: DONNA THOMAS

MEDICARE:   DONNA  THOMAS
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 Technician

General Provider Information

NPI Number : 1033947726
Entity Type Code : Individual
Provider Name (Legal Business Name) : DONNA THOMAS
Provider Business Mailing Address
First Line : PO BOX 33568
Second Line :
City : SAN DIEGO
State : CA
Zip : 92163-3568
Country : US
Telephone Number : 855-223-7123
Fax Number : 619-374-7134
Provider Business Practice Location Address
First Line : 421 WINDCHIME PL STE 140
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80919-1984
Country : US
Telephone Number : 888-754-0398
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/24/2024
Last Update Date : 04/13/2026

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Directions to “ DONNA THOMAS ” Practice Location

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