Provider Demographics
NPI:1437384534
Name:THOMPSON, ALINA R (MS BCBA)
Entity Type:Individual
Prefix:
First Name:ALINA
Middle Name:R
Last Name:THOMPSON
Suffix:
Gender:F
Credentials:MS BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:304 CONGRESSMAN DR
Mailing Address - Street 2:
Mailing Address - City:CLARKSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37042-1326
Mailing Address - Country:US
Mailing Address - Phone:931-980-3846
Mailing Address - Fax:
Practice Address - Street 1:3337 MELISSA LN
Practice Address - Street 2:
Practice Address - City:CLARKSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37042-6395
Practice Address - Country:US
Practice Address - Phone:931-538-1460
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-05-19
Last Update Date:2014-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst