Individual provider Active NPI

Courtney Taylor Thompson, BCBA

  • Behavior Analyst
  • San Antonio, TX
National Provider Identifier
1447918271
Registry record updated Jun 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
BA-787-0 Issued in HI
Practice address
26116 Starling HL
San Antonio, TX 78260-2461
Phone
(210) 630-8157
NPI assigned
Nov 29, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X BACB398421 TX
Behavior Analyst 103K00000X BA-787-0 HI Primary

Addresses

Primary practice location

26116 Starling HL
San Antonio, TX 78260-2461

Mailing address

26116 Starling HL
San Antonio, TX 78260-2461
Phone (210) 630-8157

Other practice location 1

94-428 Mokuola St Ste 214A
Waipahu, HI 96797-3396
Phone (808) 944-2882

Other practice location 2

1200 Concord Ave Ste 185
Concord, CA 94520-4915
Phone (210) 630-8157

Other identifiers 3

IdentifierTypeStateIssuer
BCBA398421OtherTXBCBA
006373MedicaidHI
BA-787-0OtherHIBCBA

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

State licenses

LicenseStateTypeSpecialty
BA-787-0HIMDBehavioral Analyst
BACB398421TXMDBehavioral Analyst

NPI Registry JSON

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

{
    "created_epoch": "1638144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717545600000",
    "number": "1447918271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26116 STARLING HL",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782602461",
            "telephone_number": "210-630-8157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26116 STARLING HL",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782602461",
            "telephone_number": "210-630-8157"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "94-428 Mokuola St Ste 214A",
            "address_purpose": "LOCATION",
            "city": "Waipahu",
            "state": "HI",
            "postal_code": "967973396",
            "country_code": "US",
            "telephone_number": "808-944-2882",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1200 Concord Ave Ste 185",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "CA",
            "postal_code": "945204915",
            "country_code": "US",
            "telephone_number": "210-630-8157",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "COURTNEY",
        "middle_name": "TAYLOR",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-29",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": "TX",
            "license": "BACB398421",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "HI",
            "license": "BA-787-0",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBA",
            "identifier": "BCBA398421",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006373",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBA",
            "identifier": "BA-787-0",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 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.