Dylan James Thomas

Primary specialty

Assistant Behavior AnalystTaxonomy code 106E00000X

Practice address

1124 Patriot Way
Mount Holly, NJ 08060-9624

Phone

(856) 492-1355

NPI assigned

Jun 22, 2024

Sex

Male

Sole proprietor

Yes

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

Practice roles

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

• Speech Language Associates LLC

  • Speech-Language Pathologist
  • Mount Laurel, NJ
  • NPI 1760916969
  NPD (past)

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

{
    "created_epoch": "1719014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719014400000",
    "number": "1386488534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1124 PATRIOT WAY",
            "city": "MOUNT HOLLY",
            "state": "NJ",
            "postal_code": "080609624",
            "telephone_number": "856-492-1355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1124 PATRIOT WAY",
            "city": "MOUNT HOLLY",
            "state": "NJ",
            "postal_code": "080609624",
            "telephone_number": "856-492-1355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "DYLAN",
        "middle_name": "JAMES",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-06-22",
        "last_updated": "2024-06-22",
        "certification_date": "2024-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark A Tatz, MD
• Dianne Johnson Temple
• The Cobbler Shop
• The Lester a. Drenk Behavioral Health Center, Inc.
• Therapeutic Alternatives
• Galinda Thomas, SRNA
• Matthew Thompson, IDMT
• Robin T Thornton, MD
• Babji Thummala
• Cheryl Tilton, RNFA

• Assistant Behavior Analyst in Mount Holly, NJ
• Providers in Mount Holly, NJ by specialty
• Assistant Behavior Analyst in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 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.