Courtlyn Lee Thomas, LBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

0133001968 Issued in VA

Practice address

522 S Independence Blvd Ste 102D
Virginia Beach, VA 23452-1149

Phone

(610) 529-1927

NPI assigned

Jun 7, 2021

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: cthomas@compasyouthandfamily.com

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.

• Your Way ABA LLC

  • Behavior Analyst
  • Wilmington, DE
  • NPI 1457095747
  NPD (past)

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

{
    "created_epoch": "1623024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623024000000",
    "number": "1871160002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 PENNWOOD DR",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236663810",
            "telephone_number": "610-529-1927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522 S INDEPENDENCE BLVD STE 102D",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234521149",
            "telephone_number": "610-529-1927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "COURTLYN",
        "middle_name": "LEE",
        "name_prefix": "Ms.",
        "credential": "LBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-07",
        "last_updated": "2021-06-07",
        "certification_date": "2021-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "VA",
            "license": "0133001968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Cthomas@compasyouthandfamily.com",
            "affiliation": "N",
            "address_1": "522 S Independence Blvd Ste 102D",
            "city": "Virginia Beach",
            "state": "VA",
            "country_code": "US",
            "postal_code": "234521149",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ann Theolanda Thomas
• Ashley Thomas, MA
• Brant Thomas, M.D.
• Briana K Thomas
• Carrie Marie Thomas, AGPCNP-BC
• Cynthia Del Carmen Thomas
• Diane Erica Thomas, RN
• Donqua Thomas
• Emily Jo Thomas, LMFT
• J'Lisa Natasha Thomas

• Behavior Analyst in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Behavior Analyst in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2021; 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.