Provider Demographics
NPI:1124555347
Name:AINSLEY THOMPSON, LLC
Entity Type:Organization
Organization Name:AINSLEY THOMPSON, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BEHAVIOR ANALYST
Authorized Official - Prefix:
Authorized Official - First Name:AINSLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:THOMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:MA, BCBA
Authorized Official - Phone:803-429-2151
Mailing Address - Street 1:2803 S PENNSYLVANIA ST UNIT A
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80113-1783
Mailing Address - Country:US
Mailing Address - Phone:803-429-2151
Mailing Address - Fax:
Practice Address - Street 1:2803 S PENNSYLVANIA ST UNIT A
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80113-1783
Practice Address - Country:US
Practice Address - Phone:803-429-2151
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-18
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty