Provider Demographics
NPI:1396005831
Name:THOMPSON, MARSHA (MS BCBA)
Entity Type:Individual
Prefix:MRS
First Name:MARSHA
Middle Name:
Last Name:THOMPSON
Suffix:
Gender:F
Credentials:MS BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:DYNAMIC STEPS THERAPY
Mailing Address - Street 2:7711 MILITARY TRAIL DRIVE STE 205
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33401
Mailing Address - Country:US
Mailing Address - Phone:561-537-9321
Mailing Address - Fax:561-484-7194
Practice Address - Street 1:7711 N MILITARY TRL STE 205
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33410-6506
Practice Address - Country:US
Practice Address - Phone:561-537-9321
Practice Address - Fax:561-484-7194
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-17
Last Update Date:2023-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1396005831OtherNPI