Provider Demographics
NPI:1770879975
Name:THOMPSON, AINSLEY TERESA (MA, BCBA)
Entity type:Individual
Prefix:MS
First Name:AINSLEY
Middle Name:TERESA
Last Name:THOMPSON
Suffix:
Gender:F
Credentials:MA, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2803 S PENNSYLVANIA ST
Mailing Address - Street 2:UNIT A
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80113-1782
Mailing Address - Country:US
Mailing Address - Phone:803-429-2151
Mailing Address - Fax:
Practice Address - Street 1:2803 S PENNSYLVANIA ST
Practice Address - Street 2:UNIT A
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80113-1782
Practice Address - Country:US
Practice Address - Phone:803-429-2151
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-26
Last Update Date:2017-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD1-11-8918103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst