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NPI Code Detail

MEDICARE: FARRELL JAMES THOMPSON

MEDICARE:   FARRELL JAMES THOMPSON
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 Analyst

General Provider Information

NPI Number : 1467886531
Entity Type Code : Individual
Provider Name (Legal Business Name) : FARRELL JAMES THOMPSON
Provider Business Mailing Address
First Line : 1221 HIGH ALTITUDE AVE
Second Line :
City : N LAS VEGAS
State : NV
Zip : 89032
Country : US
Telephone Number : 702-374-3183
Fax Number :
Provider Business Practice Location Address
First Line : 1221 HIGH ALTITUDE AVE
Second Line :
City : N LAS VEGAS
State : NV
Zip : 89032-0739
Country : US
Telephone Number : 702-374-3183
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/26/2013
Last Update Date : 08/26/2013

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Directions to “ FARRELL JAMES THOMPSON ” Practice Location

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