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NPI Code Detail

MEDICARE: BAILEY THOMPSON

MEDICARE: BAILEY 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 Technician

General Provider Information

NPI Number : 1558294272
Entity Type Code : Individual
Provider Name (Legal Business Name) : BAILEY THOMPSON
Provider Business Mailing Address
First Line : 10411 NE FOURTH PLAIN BLVD STE 145
Second Line :
City : VANCOUVER
State : WA
Zip : 98662-5755
Country : US
Telephone Number : 360-210-6168
Fax Number : 360-925-3183
Provider Business Practice Location Address
First Line : 10411 NE FOURTH PLAIN BLVD STE 145
Second Line :
City : VANCOUVER
State : WA
Zip : 98662-5755
Country : US
Telephone Number : 360-210-6168
Fax Number : 360-925-3183
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/03/2026
Last Update Date : 06/03/2026

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Directions to “ BAILEY THOMPSON ” Practice Location

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