MEDICARE: DEJA ARNESE THOMAS

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
1	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1902731151
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEJA ARNESE THOMAS

Provider Business Mailing Address
First Line	:	2116 RICHVIEW PL
Second Line	:
City	:	CLARKSVILLE
State	:	TN
Zip	:	37043-5216
Country	:	US
Telephone Number	:	931-377-9901
Fax Number	:	931-218-2956

Provider Business Practice Location Address
First Line	:	2116 RICHVIEW PL
Second Line	:
City	:	CLARKSVILLE
State	:	TN
Zip	:	37043-5216
Country	:	US
Telephone Number	:	931-377-9901
Fax Number	:	931-218-2956

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/17/2026
Last Update Date	:	06/17/2026

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Directions to “ DEJA ARNESE THOMAS ” Practice Location

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