Provider Demographics
NPI:1013642818
Name:THOMPSON, ALISON KAITLIN (MS, BCBA)
Entity Type:Individual
Prefix:MRS
First Name:ALISON
Middle Name:KAITLIN
Last Name:THOMPSON
Suffix:
Gender:F
Credentials:MS, BCBA
Other - Prefix:
Other - First Name:ALISON
Other - Middle Name:KAITLIN
Other - Last Name:SOBECK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 1121
Mailing Address - Street 2:
Mailing Address - City:CHRISTIANSTED
Mailing Address - State:VI
Mailing Address - Zip Code:00821-1121
Mailing Address - Country:US
Mailing Address - Phone:340-643-3889
Mailing Address - Fax:
Practice Address - Street 1:5030 ANCHOR WAY
Practice Address - Street 2:
Practice Address - City:CHRISTIANSTED
Practice Address - State:VI
Practice Address - Zip Code:00820-4692
Practice Address - Country:US
Practice Address - Phone:340-719-7007
Practice Address - Fax:340-719-6655
Is Sole Proprietor?:No
Enumeration Date:2022-07-18
Last Update Date:2022-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2022-077103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst