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NPI Code Detail

MEDICARE: ADAM NICHOLAS THOMPSON RBT

MEDICARE: ADAM NICHOLAS THOMPSON RBT
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
1171M00000XCase Manager/Care Coordinator
2106S00000XBehavior Technician

General Provider Information

NPI Number : 1629317094
Entity Type Code : Individual
Provider Name (Legal Business Name) : ADAM NICHOLAS THOMPSON RBT
Provider Business Mailing Address
First Line : 411 EDWARDSVILLE RD
Second Line :
City : TROY
State : IL
Zip : 62294-1339
Country : US
Telephone Number : 314-275-0506
Fax Number : 314-463-4937
Provider Business Practice Location Address
First Line : 411 EDWARDSVILLE RD
Second Line :
City : TROY
State : IL
Zip : 62294-1339
Country : US
Telephone Number : 314-275-0506
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/05/2013
Last Update Date : 08/25/2025

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Directions to “ ADAM NICHOLAS THOMPSON RBT” Practice Location

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