Staci Thomas, is a
Behavior Technician based in Dallas, Texas. Staci Thomas is licensed to practice in Texas (license number 17-37585) and her current practice location is
4327 Rosemeade Pkwy Apt 736, Dallas, Texas. She can be reached at her office (for appointments etc.) via phone at
(972) 897-5392.
NPI number for Staci Thomas is 1811476427 and her current mailing address is 4327 Rosemeade Pkwy Apt 736, Dallas, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1811476427.
Healthcare Provider's Profile
| Full Name | Staci Thomas |
|---|
| Gender | Female |
|---|
| Speciality | Behavior Technician |
|---|
| Location | 4327 Rosemeade Pkwy Apt 736, Dallas, Texas |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1811476427
- Provider Enumeration Date: 08/14/2018
- Last Update Date: 06/24/2019
Medical Identifiers
Medical identifiers for Staci Thomas such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1811476427 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 3747A0650X | Technician - Attendant Care Provider | (* (Not Available)) | Secondary |
| 106S00000X | Behavior Technician | 17-37585 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Staci Thomas is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Staci Thomas,
4327 Rosemeade Pkwy Apt 736,
Dallas, TX 75287-2996
Ph: (972) 897-5392 | Staci Thomas,
4327 Rosemeade Pkwy Apt 736,
Dallas, TX 75287-2996
Ph: (972) 897-5392 |
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