Jonathon Thomas

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

11997268-2506 Issued in UT

Practice address

770 Park Centre Dr
Kernersville, NC 27284-3598

Phone

(704) 780-4271

NPI assigned

Apr 20, 2018

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 5

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1524182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707868800000",
    "number": "1063909307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16255 VENTURA BLVD STE 830",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362317",
            "telephone_number": "801-710-7888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 PARK CENTRE DR",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "272843598",
            "telephone_number": "704-780-4271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "JONATHON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-20",
        "last_updated": "2024-02-14",
        "certification_date": "2024-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "UT",
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "UT",
            "license": "RBT-18-52417",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "UT",
            "license": "11997268-2506",
            "primary": true
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "UT",
            "license": "11997268-2507",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ATENA",
            "identifier": "W222530056",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer N. Thoman, PT
• Asiyah Thomas
• Brianna Thomas
• Cory Thomas
• Deanna Lynelle Thomas, M.ED & MBA
• Ollie Norman Thomas Sr.
• Kaley Whitesell Thompson, PHARMD
• Kelly Stephenson Thompson, PHYSICAL THERAPIST
• Mary Rebecca W Thompson
• Michael Gray Thompson, RPH.

• Behavior Analyst in Kernersville, NC
• Providers in Kernersville, NC by specialty
• Behavior Analyst in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.