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NPI Code Detail

MEDICARE: ASHLEY NICOLE THOMPSON

MEDICARE:   ASHLEY NICOLE THOMPSON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior TechnicianSC

General Provider Information

NPI Number : 1962341776
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHLEY NICOLE THOMPSON
Provider Business Mailing Address
First Line : 4900 OHEAR AVE STE 100
Second Line :
City : NORTH CHARLESTON
State : SC
Zip : 29405-5091
Country : US
Telephone Number : 843-955-7860
Fax Number :
Provider Business Practice Location Address
First Line : 4900 OHEAR AVE STE 100
Second Line :
City : NORTH CHARLESTON
State : SC
Zip : 29405-5091
Country : US
Telephone Number : 843-955-7860
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/26/2026
Last Update Date : 03/29/2026

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Directions to “ ASHLEY NICOLE THOMPSON ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.