Baillie Thompson

NPI #1154806016 in Russellville, Arkansas

Provider Information

NPI Number: 1154806016
Entity Type: Individual
Name: Baillie Thompson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Sep 26, 2018
Last Updated: May 28, 2021

Practice Location

Address: 500 E 3RD ST
City: Russellville
State: Arkansas
ZIP Code: 72801-5204
Phone: (479) 968-5048

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Manager/Care Coordinator	171M00000X
Behavior Technician	106S00000X	Primary

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