Individual
MRS. JENNIFER MARIE THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA, COBA
Contact information
Practice address
23500 MERCANTILE RD STE B, BEACHWOOD, OH 44122-5914
(859) 360-3006
Mailing address
194 CASTLE BLVD, AKRON, OH 44313-6533
(330) 620-9627
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BACB304746
OH
103K00000X
Behavior Analyst
COBA.00380
OH
Other
Enumeration date
03/02/2018
Last updated
08/27/2021
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