Active NPI
Stephen Tomlinson, BCBA
- Behavior Analyst
- Cresson, PA
National Provider Identifier
1962813170
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- BH000907
- Practice address
- 310 North Ave
Cresson, PA 16630-1000 - Phone
- (814) 241-1809
- NPI assigned
- May 12, 2014
- 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 | BH000907 | PA | Primary |
Addresses
Primary practice location
310 North Ave
Cresson, PA 16630-1000
Mailing address
310 North Ave
Cresson, PA 16630-1000
Phone (814) 241-1809
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1-02-0864 | Other | CO | BEHAVIOR ANALYST CERTIFICATION BOARD |
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
| License | State | Type | Specialty |
|---|---|---|---|
| BH000907 | PA | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1399852800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1399852800000",
"number": "1962813170",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "310 NORTH AVE",
"city": "CRESSON",
"state": "PA",
"postal_code": "166301000",
"telephone_number": "814-241-1809"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "310 NORTH AVE",
"city": "CRESSON",
"state": "PA",
"postal_code": "166301000",
"telephone_number": "814-241-1809"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOMLINSON",
"first_name": "STEPHEN",
"credential": "BCBA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-05-12",
"last_updated": "2014-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "PA",
"license": "BH000907",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BEHAVIOR ANALYST CERTIFICATION BOARD",
"identifier": "1-02-0864",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cresson, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.