Active NPI
Randy Brian Thompson, BCBA
- Behavior Analyst
- Pasadena, CA
National Provider Identifier
1780934901
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-10-7730
- Practice address
- 435 N Craig Ave
Pasadena, CA 91107-2402 - Phone
- (626) 795-8355
- NPI assigned
- Sep 14, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-10-7730 | CA | Primary |
Addresses
Primary practice location
435 N Craig Ave
Pasadena, CA 91107-2402
Mailing address
285 Lola Ave
Pasadena, CA 91107-3240
Phone (909) 342-8879
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": "1347580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1347580800000",
"number": "1780934901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "285 LOLA AVE",
"city": "PASADENA",
"state": "CA",
"postal_code": "911073240",
"telephone_number": "909-342-8879"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "435 N CRAIG AVE",
"city": "PASADENA",
"state": "CA",
"postal_code": "911072402",
"telephone_number": "626-795-8355"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMPSON",
"first_name": "RANDY",
"middle_name": "BRIAN",
"name_prefix": "Mr.",
"credential": "BCBA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-09-14",
"last_updated": "2012-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CA",
"license": "1-10-7730",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.