Individual
JONATHON THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
770 PARK CENTRE DR, KERNERSVILLE, NC 27284-3598
(704) 780-4271
Mailing address
16255 VENTURA BLVD STE 830, ENCINO, CA 91436-2317
(801) 710-7888
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
11997268-2506
UT
106E00000X
Assistant Behavior Analyst
11997268-2507
UT
106S00000X
Behavior Technician
RBT-18-52417
UT
106S00000X
Behavior Technician
—
UT
106S00000X
Behavior Technician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W222530056
ATENA
UT
Enumeration date
04/20/2018
Last updated
02/14/2024
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