Ellis Grant Thompson, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-14-10323

Practice address

1313 NE 134TH St Ste 110
Vancouver, WA 98685-2721

Phone

(360) 518-6249

NPI assigned

Apr 29, 2015

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

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.

• Formations Behavior Therapy

  • Community/Behavioral Health Agency
  • Vancouver, WA
  • NPI 1326546235
  NPD Authorized official

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

{
    "created_epoch": "1430265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559520000000",
    "number": "1487031332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5502 NE 74TH AVE",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986626386",
            "telephone_number": "206-854-1829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1313 NE 134TH ST STE 110",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986852721",
            "telephone_number": "360-518-6249"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5502 NE 74th Ave",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986626386",
            "country_code": "US",
            "telephone_number": "206-854-1829",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "ELLIS",
        "middle_name": "GRANT",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-04-29",
        "last_updated": "2019-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-14-10323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bailey Thompson
• Christopher Nicholas Thompson, CDP
• Christy Jo Thompson, LMHCA
• Craig F. Thompson, MD
• Dasia Marie Thompson
• Evie Thompson
• Heather Lenore Thompson, NAC
• Ilars Kontar Thompson
• Jeniffer Paige Thompson
• John E Thompson

• Behavior Analyst in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Behavior Analyst in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2019; 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.