Provider Demographics
NPI:1194513564
Name:STEWART-THOMPSON, TENESHA (RBT)
Entity type:Individual
Prefix:
First Name:TENESHA
Middle Name:
Last Name:STEWART-THOMPSON
Suffix:
Gender:
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:835 ASHLEY ST
Mailing Address - Street 2:
Mailing Address - City:HEMET
Mailing Address - State:CA
Mailing Address - Zip Code:92545-4746
Mailing Address - Country:US
Mailing Address - Phone:413-275-4918
Mailing Address - Fax:
Practice Address - Street 1:835 ASHLEY ST
Practice Address - Street 2:
Practice Address - City:HEMET
Practice Address - State:CA
Practice Address - Zip Code:92545-4746
Practice Address - Country:US
Practice Address - Phone:413-275-4918
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-28
Last Update Date:2025-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT23-300611106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician