Thompson, Rebecca Lynn
Thompson, Rebecca Lynn is an individual health care provider with primary practice located at 150 N Sunny Slope Rd Suite #100, Brookfield WI 53005-4806. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Thompson, Rebecca Lynn can be contacted via phone (262) 432-5660.Contact Information
Primary practice address
150 N Sunny Slope Rd Suite #100
Brookfield WI 53005-4806
Phone: (262) 432-5660
Fax: (262) 432-5666
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 2916-57 | Wisconsin |
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | 59-140 | Wisconsin |
Profile Details
| NPI number | 1568784114 |
|---|---|
| LBN Legal business name | Thompson, Rebecca Lynn |
| Credentials | PHD, BCBA-D |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 24th, 2010 |
| Last updated | Nov 18th, 2015 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1568784114 | NPPES |
| Wisconsin | MEDICAID | 1568784114 |
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