Kaitlyn Brynne Thoreson, BS

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

4907 NW 43Rd St Ste C
Gainesville, FL 32606-2007

Phone

(352) 372-0047

NPI assigned

Oct 10, 2023

Sex

Female

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

Credentials

Bachelor of Science

Practice roles

Locations

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.

• Acg Therapy Center, Inc

  • Behavior Analyst
  • Gainesville, FL
  • NPI 1588651921
  NPD

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

{
    "created_epoch": "1696896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696896000000",
    "number": "1457132144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3205 NW 83RD ST APT 3114",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326066229",
            "telephone_number": "386-288-2188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4907 NW 43RD ST STE C",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326062007",
            "telephone_number": "352-372-0047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THORESON",
        "first_name": "KAITLYN",
        "middle_name": "BRYNNE",
        "credential": "BS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-10",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyler Thompson, MD
• Walker Lanier Thompson, MD
• Zuria Thompson
• Jeremy Thoms, PHARM D
• Thoracic and Vascular Surgeons of Gainesville, P.a.
• Mary Claire Stevens Thorkildson, ARNP
• Nancy Thorlakson
• Emily J Thornbury, LMT
• Irene Thorns, LCSW
• Joseph E. Thornton, MD

• Behavior Technician in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2023; 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.