Tammy Thomas, LBCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

000502 Issued in NY

Practice address

19 Robinson Rd
Clinton, NY 13323-1418

Phone

(315) 853-6090

NPI assigned

Nov 20, 2014

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

Other names 1

• Tammy Lynn Derosa Former name

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": "1416441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416441600000",
    "number": "1396142246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 BOLTON RD",
            "city": "NEW HARTFORD",
            "state": "NY",
            "postal_code": "134132514",
            "telephone_number": "315-272-7574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 ROBINSON RD",
            "city": "CLINTON",
            "state": "NY",
            "postal_code": "133231418",
            "telephone_number": "315-853-6090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "TAMMY",
        "credential": "LBCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-20",
        "last_updated": "2014-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NY",
            "license": "000502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAMMY",
            "last_name": "DEROSA",
            "middle_name": "LYNN",
            "credential": "BCBA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mark A Tardugno, DDS
• Brittany Teal, MS, OTR/L
• Stacey Leigh Terry
• Carolyn J Thau
• Chelsea Theriault
• Nikolina Timmons
• Abigail Tompkins
• Ngoc Thuy Tran
• Michael Tucciarone, D.C.
• Megan A Tucker

• Behavior Analyst in Clinton, NY
• Providers in Clinton, NY by specialty
• Behavior Analyst in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2014; 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.