Provider Demographics
NPI:1194224691
Name:THOMAS, JANET LYNN (LPC, BCBA, NCC)
Entity Type:Individual
Prefix:
First Name:JANET
Middle Name:LYNN
Last Name:THOMAS
Suffix:
Gender:F
Credentials:LPC, BCBA, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1825 LAKEVIEW LN
Mailing Address - Street 2:
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76208-2080
Mailing Address - Country:US
Mailing Address - Phone:940-765-8577
Mailing Address - Fax:
Practice Address - Street 1:1825 LAKEVIEW LN
Practice Address - Street 2:
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76208-2080
Practice Address - Country:US
Practice Address - Phone:940-765-8577
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-09
Last Update Date:2018-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1-13-13656103K00000X
TX67008101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst