NPI 1083199152
Raven Ashley Thomas, MSBCBA
Practice location
- Address
- 1619 Collins Rd NW STE 500, Kennesaw, GA 30152
- Phone
- (502) 338-4266
- Mailing address
- 300 International Pkwy STE 200, Lake Mary, FL 32746-5028
Registered specialties
Behavior Analyst
Primary
Registry record
- NPI
- 1083199152
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 25 Sep 2018
- Record last updated
- 31 Oct 2019
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.