Individual
MICHAEL THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
17551 GENERATIONS DR, SOUTH BEND, IN 46635-1589
(574) 400-2169
(317) 520-8200
Mailing address
3500 DEPAUW BLVD STE 3070, INDIANAPOLIS, IN 46268-6135
(855) 324-0885
(317) 520-8200
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-24-74052
IN
103K00000X
Behavior Analyst
Primary
95001638A
IN
Other
Enumeration date
07/22/2024
Last updated
06/24/2026
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