Individual provider Active NPI

Holland Thompson, BCBA

  • Behavior Analyst
  • Prosper, TX
National Provider Identifier
1447767231
Registry record updated May 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-19-38894 Issued in AZ
Practice address
1512 Grapevine RDG
Prosper, TX 75078-1694
Phone
(469) 423-5658
NPI assigned
Jan 3, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X
Behavior Analyst 103K00000X 1-19-38894 AZ Primary

Addresses

Primary practice location

1512 Grapevine RDG
Prosper, TX 75078-1694

Mailing address

1512 Grapevine RDG
Prosper, TX 75078-1694

Other practice location 1

300 N 18th St
Phoenix, AZ 85006-4103
Phone (469) 865-4955

Other practice location 2

300 N 18th St
Phoenix, AZ 85006-4103
Phone (469) 865-4955

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1514937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714521600000",
    "number": "1447767231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1512 GRAPEVINE RDG",
            "city": "PROSPER",
            "state": "TX",
            "postal_code": "750781694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1512 GRAPEVINE RDG",
            "city": "PROSPER",
            "state": "TX",
            "postal_code": "750781694",
            "telephone_number": "469-423-5658"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 N 18th St",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850064103",
            "country_code": "US",
            "telephone_number": "469-865-4955",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 N 18th St",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850064103",
            "country_code": "US",
            "telephone_number": "469-865-4955",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "HOLLAND",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-03",
        "last_updated": "2024-05-01",
        "certification_date": "2024-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "AZ",
            "license": "1-19-38894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prosper, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 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.