Healthcare Provider Details

I. General information

NPI: 1225943483
Provider Name (Legal Business Name): MR. ANDREW THORNE JR.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/14/2026
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1400 1ST ST NW
WASHINGTON DC
20001-1763
US

IV. Provider business mailing address

1400 1ST ST NW
WASHINGTON DC
20001-1763
US

V. Phone/Fax

Practice location:
  • Phone: 202-281-1700
  • Fax: 202-986-9240
Mailing address:
  • Phone: 202-281-1700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: