Individual provider Active NPI

Kathy Pakue Lor Thao, M.S, BCBA

  • Behavior Analyst
  • Sacramento, CA
National Provider Identifier
1982193280
Registry record updated Jun 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-22-59395 Issued in HI
Practice address
2717 Cottage Way Ste 16
Sacramento, CA 95825-1222
Phone
(916) 913-1542
NPI assigned
May 2, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-22-59395 HI Primary

Addresses

Primary practice location

2717 Cottage Way Ste 16
Sacramento, CA 95825-1222

Mailing address

2717 Cottage Way Ste 16
Sacramento, CA 95825-1222
Phone (916) 913-1542

Other names 1

  • Sofiah Pakue Lor Other name

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
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
City of Trees Assessment and Psychotherapy PastSince Sep 1, 2023 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1525219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656547200000",
    "number": "1982193280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2717 COTTAGE WAY STE 16",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958251222",
            "telephone_number": "916-913-1542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2717 COTTAGE WAY STE 16",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958251222",
            "telephone_number": "916-913-1542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOR THAO",
        "first_name": "KATHY",
        "middle_name": "PAKUE",
        "credential": "M.S, BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-02",
        "last_updated": "2022-06-30",
        "certification_date": "2022-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "HI",
            "license": "1-22-59395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SOFIAH",
            "last_name": "LOR",
            "middle_name": "PAKUE",
            "credential": "M.S, BCBA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2022; 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.