Thompson, Terry Lee
Thompson, Terry Lee is an individual health care provider with primary practice located at 21 S Park Blvd Ste 21 , Greenwood IN 46143. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as his primary health care specialty. Thompson, Terry Lee can be contacted via phone (317) 449-2104.Contact Information
Primary practice address
21 S Park Blvd Ste 21
Greenwood IN 46143
Phone: (317) 449-2104
Fax: (317) 520-8200
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | 1-17-26156 |
Profile Details
| NPI number | 1124547963 |
|---|---|
| LBN Legal business name | Thompson, Terry Lee |
| Credentials | MA, BCBA |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 13th, 2017 |
| Last updated | Jan 8th, 2019 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124547963 | NPPES |
| Other | 1-17-26156 | BCBA CERTIFICATE |
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