Individual
MRS. DEDRA THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7815 W 28TH ST, LITTLE ROCK, AR 72204-4605
(501) 471-8988
Mailing address
7815 W 28TH ST, LITTLE ROCK, AR 72204-4605
(501) 471-8580
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
AR
106E00000X
Assistant Behavior Analyst
—
AR
106S00000X
Behavior Technician
Primary
—
AR
171000000X
Military Health Care Provider
—
AR
174H00000X
Health Educator
—
AR
221700000X
Art Therapist
—
AR
222Q00000X
Developmental Therapist
—
AR
225800000X
Recreation Therapist
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
AR
252Y00000X
Early Intervention Provider Agency
—
AR
332BC3200X
Customized Equipment (DME)
—
AR
3747A0650X
Attendant Care Provider
—
—
3747P1801X
Personal Care Attendant
—
AR
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
AR
Other
Enumeration date
05/31/2023
Last updated
05/31/2023
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