Individual
PORSHA ROSHELLE THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED
Contact information
Practice address
1210 ALDERSGATE RD, LITTLE ROCK, AR 72205-6606
(501) 574-3053
Mailing address
1210 ALDERSGATE RD, LITTLE ROCK, AR 72205-6606
(501) 574-3053
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
19-106422
AR
Other
Enumeration date
12/09/2019
Last updated
12/09/2019
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