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NPI Code Detail

MEDICARE: MR. DARNELL THOMPKINS BCBA

MEDICARE: MR. DARNELL THOMPKINS BCBA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior AnalystLBA0123NV

General Provider Information

NPI Number : 1700278512
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. DARNELL THOMPKINS BCBA
Provider Business Mailing Address
First Line : 6363 S PECOS RD STE 206
Second Line :
City : LAS VEGAS
State : NV
Zip : 89120-6293
Country : US
Telephone Number : 702-850-2691
Fax Number :
Provider Business Practice Location Address
First Line : 6363 S PECOS RD STE 206
Second Line :
City : LAS VEGAS
State : NV
Zip : 89120-6293
Country : US
Telephone Number : 702-850-2691
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/03/2015
Last Update Date : 08/03/2021

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