Shanna Lee Thomas

Primary specialty

Assistant Behavior AnalystTaxonomy code 106E00000X

License

1-16-24643 Issued in WA

Practice address

800 Field Ave
Centralia, WA 98531-3824

Phone

(360) 330-7641

NPI assigned

Mar 9, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1678320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678320000000",
    "number": "1154021988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 RAVINA DR",
            "city": "CHEHALIS",
            "state": "WA",
            "postal_code": "985329686",
            "telephone_number": "360-324-2584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 FIELD AVE",
            "city": "CENTRALIA",
            "state": "WA",
            "postal_code": "985313824",
            "telephone_number": "360-330-7641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "SHANNA",
        "middle_name": "LEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-09",
        "last_updated": "2023-03-09",
        "certification_date": "2023-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "WA",
            "license": "1-16-24643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Duong Thuy Than, M.D.
• Jessica Thayer, BA, AAC
• Briana Thomas, PHARMD
• Jelisa Renae Thomas
• Rebecca Ellen Thomas, L.M.P
• Chantelle Elizabeth Thompson, BA, AAC
• Katherine Thompson, AAC CHT
• Kaydence E Thompson, BAS, R-AAC
• Laila E Thompson, MA LMHC
• Rebecca Leigh Thompson, LMT

• Assistant Behavior Analyst in Centralia, WA
• Providers in Centralia, WA by specialty
• Assistant Behavior Analyst in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2023; 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.