Individual
KELSIE THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, BCBA, LBA
Contact information
Practice address
12031 TEXAS 151 ACCESS ROAD, SUITES 103 & 105, SAN ANTONIO, TX 78251
(210) 898-1800
Mailing address
16800 DALLAS PKWY STE 200, DALLAS, TX 75248-1961
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-19-37589
CO
103K00000X
Behavior Analyst
Primary
1-19-37589
TX
247200000X
Other Technician
RBT-17-32556
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-19-37589
BCBA
TX
Enumeration date
02/13/2019
Last updated
10/08/2024
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