Individual ProviderJennifer Marie ThompsonBehavior AnalystBehavioral Health & Social Service ProvidersPractice Address23500 Mercantile Rd Ste B, Beachwood, OH 44122-5914(859) 360-3006(330) 620-9627PECOS EnrollmentBased on the most recent information from CMS, provider Jennifer Marie Thompson does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1124520465Provider TypeIndividualFull NameThompson, Jennifer MarieTitleMrs.CredentialBCBA, COBAGenderFemaleSole ProprietorYesEnumeration Date3/2/2018Last Updated8/27/2021Contact InformationPractice LocationPractice Address23500 Mercantile Rd Ste B, Beachwood, OH 44122-5914Phone(859) 360-3006FaxUnlisted FaxMailing LocationMailing Address194 Castle Blvd, Akron, OH 44313-6533Phone(330) 620-9627FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode103K00000XPrimaryDescriptionBehavior AnalystBehavioral Health & Social Service ProvidersLicenseBACB304746OhioCode103K00000XDescriptionBehavior AnalystBehavioral Health & Social Service ProvidersLicenseCOBA.00380Ohio