Individual
MR. TERRY LEE THOMPSON III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, BCBA
Contact information
Practice address
21 S PARK BLVD STE 21, GREENWOOD, IN 46143
(317) 449-2104
(317) 520-8200
Mailing address
3500 DEPAUW BLVD STE 3070, INDIANAPOLIS, IN 46268-6135
(855) 324-0885
(317) 520-8200
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-17-26156
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-17-26156
BCBA CERTIFICATE
—
Enumeration date
09/13/2017
Last updated
01/08/2019
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