NPIMap

Organization Active NPI

Common Thread ABA LLC

  • Behavior Analyst
  • Kingsport, TN
National Provider Identifier
1144857764
Registry record updated Mar 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
COMMON THREAD ABA LLC
Practice address
2004 American Way Ste 109
Kingsport, TN 37660-5892
Phone
(423) 612-8469
Fax
(833) 540-3751
NPI assigned
Mar 24, 2020
Last updated
Mar 26, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2024

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

Authorized official

Name
Timothy Story
Title
Coo
Phone
(423) 612-8469

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

2004 American Way Ste 109
Kingsport, TN 37660-5892

Mailing address

2004 American Way Ste 109
Kingsport, TN 37660-5892
Phone (423) 612-8469

National Provider Directory

National Provider Directory

Locations

2004 American Way
Ste 109
Kingsport, TN 37660
Phone (423) 530-7600

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1585008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711411200000",
    "number": "1144857764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2004 AMERICAN WAY STE 109",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376605892",
            "telephone_number": "423-612-8469",
            "fax_number": "833-540-3751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2004 AMERICAN WAY STE 109",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376605892",
            "telephone_number": "423-612-8469",
            "fax_number": "833-540-3751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMON THREAD ABA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-24",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-26",
        "status": "A",
        "authorized_official_last_name": "STORY",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "423-612-8469"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingsport, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 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.