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NPI Code Detail

MEDICARE: NYLA CHRISTINE THOMAS-THOMPSON

MEDICARE:   NYLA CHRISTINE THOMAS-THOMPSON
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 TechnicianCA

General Provider Information

NPI Number : 1265390561
Entity Type Code : Individual
Provider Name (Legal Business Name) : NYLA CHRISTINE THOMAS-THOMPSON
Provider Business Mailing Address
First Line : 7500 SAN FELIPE ST STE 990
Second Line :
City : HOUSTON
State : TX
Zip : 77063-1708
Country : US
Telephone Number : 866-610-0580
Fax Number : 866-611-1558
Provider Business Practice Location Address
First Line : 1944 EMBARCADERO
Second Line :
City : OAKLAND
State : CA
Zip : 94606-5213
Country : US
Telephone Number : 510-344-7069
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/14/2026
Last Update Date : 01/14/2026

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Directions to “ NYLA CHRISTINE THOMAS-THOMPSON ” Practice Location

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