Provider Demographics
NPI:1205046877
Name:THOMSON, RON (MA BCBA)
Entity type:Individual
Prefix:
First Name:RON
Middle Name:
Last Name:THOMSON
Suffix:
Gender:M
Credentials:MA BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:936 29TH AVE
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98122-5006
Mailing Address - Country:US
Mailing Address - Phone:206-324-3906
Mailing Address - Fax:
Practice Address - Street 1:UNIVERSITY OF WASHINGTON, TACOMA
Practice Address - Street 2:1900 COMMERCE STREET
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98402
Practice Address - Country:US
Practice Address - Phone:253-692-4719
Practice Address - Fax:253-692-4718
Is Sole Proprietor?:No
Enumeration Date:2007-05-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor