Shannon Gayl Tompkins

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

BH004377 Issued in PA

Practice address

600 N Jackson St Ste 203
Media, PA 19063-2574

Phone

(484) 444-2285

NPI assigned

Jan 24, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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": "1516752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578268800000",
    "number": "1174021133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3431 INDIAN QUEEN LN",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191291520",
            "telephone_number": "215-620-6861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N JACKSON ST STE 203",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190632574",
            "telephone_number": "484-444-2285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOMPKINS",
        "first_name": "SHANNON",
        "middle_name": "GAYL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-24",
        "last_updated": "2020-01-06",
        "certification_date": "2020-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "PA",
            "license": "BH004377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marc R Toglia, M.D.
• Michael John Toland, RN
• Margaryta Tolchynska, PA-C
• Jean Elena Tomezsko, PHD, RD, LDN
• Kristin Carole Tomko
• Michael B Torrence, MD
• Wilson Toruno
• Lutfi Richard Trabulsi, MD
• Sabrina Trader
• Nicholas James Trainor, RD

• Behavior Analyst in Media, PA
• Providers in Media, PA by specialty
• Behavior Analyst in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2020; 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.