Individual
PAIGE THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
6837 W CACTUS ST, SPRINGFIELD, MO 65803-9571
(417) 380-1531
Mailing address
6837 W CACTUS ST, SPRINGFIELD, MO 65803-9571
(417) 380-1531
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-50948
MO
Other
Enumeration date
02/02/2022
Last updated
02/02/2022
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