Individual
MRS. ALISON GREEN THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
5847 GETWELL RD BLDG. C, SUITE 4, SOUTHAVEN, MS 38672-6816
(662) 470-6160
Mailing address
3369 MARY ELLEN DR, SOUTHAVEN, MS 38671-6474
(662) 801-8990
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
251001
MS
Other
Enumeration date
12/04/2024
Last updated
01/21/2025
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