Healthcare Provider Details

I. General information

NPI: 1215850128
Provider Name (Legal Business Name): KATELYN HOPE THOMAS MA, BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/30/2026
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2201 N SERVICE RD E
RUSTON LA
71270-2361
US

IV. Provider business mailing address

2201 N SERVICE RD E
RUSTON LA
71270-2361
US

V. Phone/Fax

Practice location:
  • Phone: 318-702-3037
  • Fax: 318-702-8046
Mailing address:
  • Phone: 318-702-3037
  • Fax: 318-702-8046

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: