Shane Marquis Tomes, RBT

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

BACB781270 Issued in KY

Practice address

3580 Hargrave CT
Hebron, KY 41048-6900

Phone

(859) 654-7288

NPI assigned

Feb 21, 2023

Last updated

Feb 21, 2023By the provider in NPPES

Sex

Male

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

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bluegrass Behavioral Health Group, LLC

  dba Cultivate Behavioral Health and Education

  • Behavior Analyst
  • Edgewood, KY
  • NPI 1952840860
  NPD (past)

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

{
    "created_epoch": "1676937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676937600000",
    "number": "1245938075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3580 HARGRAVE CT",
            "city": "HEBRON",
            "state": "KY",
            "postal_code": "410486900",
            "telephone_number": "859-654-7288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3580 HARGRAVE CT",
            "city": "HEBRON",
            "state": "KY",
            "postal_code": "410486900",
            "telephone_number": "859-654-7288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOMES",
        "first_name": "SHANE",
        "middle_name": "MARQUIS",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-02-21",
        "last_updated": "2023-02-21",
        "certification_date": "2023-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "KY",
            "license": "BACB781270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tristin R Thompson, D.C.
• Ashley Thorburn
• Tiffany L. Buller-Schussler, DDS, PLC
• Marquel Tipton, PA-C
• Elizabeth Ann Tolliver, APRN
• Tri-State Centers for Sight, Inc.
• Tri-State Oral and Maxillofacial Surgery LLC
• Trinity Home & Health
• Corinne Trumble, MD
• Elizabeth Ann Tryon, RBT

• Behavior Technician in Hebron, KY
• Providers in Hebron, KY by specialty
• Behavior Technician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 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.