Provider Demographics
NPI:1053597716
Name:PAFFORD-THACKER, RHONDA G (BCBA)
Entity type:Individual
Prefix:MRS
First Name:RHONDA
Middle Name:G
Last Name:PAFFORD-THACKER
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6215 LORRAINE RD
Mailing Address - Street 2:
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34202-6708
Mailing Address - Country:US
Mailing Address - Phone:941-755-1400
Mailing Address - Fax:
Practice Address - Street 1:6215 LORRAINE RD
Practice Address - Street 2:
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34202-6708
Practice Address - Country:US
Practice Address - Phone:941-755-1400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-11
Last Update Date:2008-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist