Active NPI
Allyssa Chea Thomas, QBA
- Behavior Analyst
- Wake Forest, NC
National Provider Identifier
1023743366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- QBA-19145
- Practice address
- 110 Capcom Ave Ste 101
Wake Forest, NC 27587-6531 - Phone
- (919) 594-1879
- NPI assigned
- Jul 20, 2022
- Last updated
- Dec 10, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | QBA-19145 | NC | Primary |
Addresses
Primary practice location
110 Capcom Ave Ste 101
Wake Forest, NC 27587-6531
Mailing address
205 Hawksbill Dr
Franklinton, NC 27525-8090
Phone (703) 203-7581
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| QBA-19145 | NC | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765324800000",
"number": "1023743366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 HAWKSBILL DR",
"city": "FRANKLINTON",
"state": "NC",
"postal_code": "275258090",
"telephone_number": "703-203-7581"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 CAPCOM AVE STE 101",
"city": "WAKE FOREST",
"state": "NC",
"postal_code": "275876531",
"telephone_number": "919-594-1879"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "ALLYSSA",
"middle_name": "CHEA",
"credential": "QBA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-07-20",
"last_updated": "2025-12-10",
"certification_date": "2025-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": "NC",
"license": "QBA-19145",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wake Forest, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.