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Individual

PRISCILLA JEAN THOMPSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1856 MEMORIAL DR STE B, CLARKSVILLE, TN 37043-4639
(931) 614-5271
Mailing address
1856 MEMORIAL DR STE B, CLARKSVILLE, TN 37043-4639
(931) 614-5271

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-20-149078
NY
106S00000X
Behavior Technician
Primary
RBT-20-149078
TN

Other

Enumeration date
08/05/2022
Last updated
05/07/2026
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