Provider Demographics
NPI:1487521688
Name:NASH, THOMAS CHANNING
Entity type:Individual
Prefix:
First Name:THOMAS
Middle Name:CHANNING
Last Name:NASH
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13378 HIGH RISE DR
Mailing Address - Street 2:
Mailing Address - City:NEVADA CITY
Mailing Address - State:CA
Mailing Address - Zip Code:95959-8225
Mailing Address - Country:US
Mailing Address - Phone:931-303-2231
Mailing Address - Fax:
Practice Address - Street 1:13378 HIGH RISE DR
Practice Address - Street 2:
Practice Address - City:NEVADA CITY
Practice Address - State:CA
Practice Address - Zip Code:95959-8225
Practice Address - Country:US
Practice Address - Phone:931-303-2231
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-10-21
Last Update Date:2025-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician