Thompson, Marissa Ann

Thompson, Marissa Ann is an individual health care provider with primary practice located at 105 Windsor Path Ste 1 , Georgetown KY 40324-9819. She recently has 2 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Technician, Other, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Thompson, Marissa Ann can be contacted via phone (859) 360-3006.

Contact Information

Primary practice address
105 Windsor Path Ste 1 Georgetown KY 40324-9819
Phone: (859) 360-3006
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Technician, Other 247200000X
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X RBT-19-99485 Indiana

Profile Details

NPI number 1326699646
LBN Legal business name Thompson, Marissa Ann
Credentials RBT
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2019
Last updated May 20th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326699646 NPPES
Indiana Other RBT-19-99485 RBT CERTIFICATE

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