Demitra Georgia Thompson

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-21-53740 Issued in PA

Practice address

20400 Observation Dr Ste 104
Germantown, MD 20876-4086

Phone

(240) 493-0023

NPI assigned

May 9, 2022

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": "1652054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652054400000",
    "number": "1376289827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 1ST ST SE REAR LOWER",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200031804",
            "telephone_number": "240-493-0023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20400 OBSERVATION DR STE 104",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208764086",
            "telephone_number": "240-493-0023"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "412 1st St SE Rear Lower",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200031804",
            "country_code": "US",
            "telephone_number": "240-493-0023",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "DEMITRA",
        "middle_name": "GEORGIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-09",
        "last_updated": "2022-05-09",
        "certification_date": "2022-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "PA",
            "license": "1-21-53740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kirsten Thomas
• Mercedes L Thomas, CPNP, IBCLC
• Zorina Michelle Thomas, PA-C
• Anna Adele Thomasson, LCSW-C
• Beatrix Thompson
• Shelly Thompson
• Thy Nguyen DDS LLC (Crown Dental Care)
• Amy Tien, PA-C
• Carla Ann Timbo
• Megha Tiwari

• Behavior Analyst in Germantown, MD
• Providers in Germantown, MD by specialty
• Behavior Analyst in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2022; 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.