Kevin Lamont Thomas

Individual provider Active NPI Behavior Analyst · Indianapolis, IN

NPI 1033918792 · NPPES record last updated Mar 13, 2025

Key facts

NPI
1033918792
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Analyst 103K00000X
License
22-233635 (IN)
Practice address
7405 Westfield Blvd
Indianapolis, IN 46240-3056
Phone
(317) 918-2689
NPI assigned
Mar 13, 2025
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
22-233635INMDBehavioral Analyst

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 22-233635 IN Yes

Addresses

Primary practice location

7405 Westfield Blvd
Indianapolis, IN 46240-3056

Mailing address

7405 Westfield Blvd
Indianapolis, IN 46240-3056

Other providers in Indianapolis, IN

All providers in Indianapolis, IN · Behavior Analyst in Indiana

Sources for this page

Verify at the official NPI Registry.