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NPI Code Detail

MEDICARE: BRITTANY THOMPSON BT

MEDICARE: BRITTANY THOMPSON BT
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
1106S00000XBehavior Technician1732962FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1578099883
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRITTANY THOMPSON BT
Provider Business Mailing Address
First Line : 300 INTERNATIONAL PKWY STE 300
Second Line :
City : LAKE MARY
State : FL
Zip : 32746-5000
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 883 SEVEN OAKS BLVD STE 850
Second Line :
City : SMYRNA
State : TN
Zip : 37167-6691
Country : US
Telephone Number : 629-216-2007
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/05/2017
Last Update Date : 02/18/2025

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