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NPI Code Detail

MEDICARE: DAVID THOMAS

MEDICARE: DAVID 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 Technician25-421447CA

General Provider Information

NPI Number : 1962391334
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID THOMAS
Provider Business Mailing Address
First Line : 9664 TENAYA WAY
Second Line :
City : KELSEYVILLE
State : CA
Zip : 95451-8516
Country : US
Telephone Number : 818-263-9605
Fax Number :
Provider Business Practice Location Address
First Line : 23901 CALABASAS RD STE 1069
Second Line :
City : CALABASAS
State : CA
Zip : 91302-1583
Country : US
Telephone Number : 707-506-0433
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/01/2025
Last Update Date : 07/01/2025

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Directions to “ DAVID THOMAS ” Practice Location

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