Provider Demographics
NPI:1336646025
Name:THOMAS, ALLISON LEE
Entity Type:Individual
Prefix:
First Name:ALLISON
Middle Name:LEE
Last Name:THOMAS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ALLISON
Other - Middle Name:LEE
Other - Last Name:KROM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:45-033 KA HANAHOU CIR
Mailing Address - Street 2:
Mailing Address - City:KANEOHE
Mailing Address - State:HI
Mailing Address - Zip Code:96744-3006
Mailing Address - Country:US
Mailing Address - Phone:619-306-3391
Mailing Address - Fax:
Practice Address - Street 1:45-033 KA HANAHOU CIR
Practice Address - Street 2:
Practice Address - City:KANEOHE
Practice Address - State:HI
Practice Address - Zip Code:96744-3006
Practice Address - Country:US
Practice Address - Phone:619-306-3391
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-09
Last Update Date:2023-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIBA264103K00000X
CA11729114103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst