Healthcare Provider Details

I. General information

NPI: 1558285833
Provider Name (Legal Business Name): NASIYA D THOMPKINS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/07/2026
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8650 BRENTWOOD BLVD STE G
BRENTWOOD CA
94513-5660
US

IV. Provider business mailing address

2803 VALENCIA LN APT 102
ANTIOCH CA
94509-4471
US

V. Phone/Fax

Practice location:
  • Phone: 925-462-2281
  • Fax:
Mailing address:
  • Phone: 925-510-0928
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: