Healthcare Provider Details

I. General information

NPI: 1952016909
Provider Name (Legal Business Name): THOMPSON CONSULTING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/13/2023
Last Update Date: 01/13/2023
Certification Date: 01/13/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2860 W BAYRIDGE CIR
WASILLA AK
99654-0754
US

IV. Provider business mailing address

2860 W BAYRIDGE CIR
WASILLA AK
99654-0754
US

V. Phone/Fax

Practice location:
  • Phone: 907-414-9554
  • Fax:
Mailing address:
  • Phone: 907-414-9554
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code320600000X
TaxonomyIntellectual and/or Developmental Disabilities Residential Treatment Facility
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code385HR2060X
TaxonomyChild Intellectual and/or Developmental Disabilities Respite Care
License Number
License Number State

VIII. Authorized Official

Name: AMY MARIE LACHER
Title or Position: OWNER/ ADMINISTRATOR
Credential: BCBA
Phone: 907-414-9554