MEDICARE: KESHIA THOMAS BCBA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103K00000X	Behavior Analyst

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1003381518
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KESHIA THOMAS BCBA

Provider Business Mailing Address
First Line	:	351 CUMBERLAND HILLS DR
Second Line	:
City	:	MADISON
State	:	TN
Zip	:	37115-2253
Country	:	US
Telephone Number	:	615-669-6397
Fax Number	:

Provider Business Practice Location Address
First Line	:	351 CUMBERLAND HILLS DR
Second Line	:
City	:	MADISON
State	:	TN
Zip	:	37115-2253
Country	:	US
Telephone Number	:	615-669-6397
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/11/2018
Last Update Date	:	10/11/2018

Similar Medicare Providers

1770089849 — EVAN KOURTJIAN MD
Practice Location Address:

1240 UNIVERSITY BAY DR
MADISON, WI
53705-2253

Practice Phone: 734-255-7979
Practice Fax:

1891315495 — STEPHANIE KOURTJIAN PA-C
Practice Location Address:

1240 UNIVERSITY BAY DR
MADISON, WI
53705-2253

Practice Phone: 616-970-8072
Practice Fax:

1851334528 — MADISON RESIDENTIAL, LLC
Practice Location Address:

527 OLD HICKORY BLVD
MADISON, TN
37115

Practice Phone: 615-865-0527
Practice Fax:

1912616707 — SAMUEL DURHAM RN, BSN, CCRN
Practice Location Address:

315 HOSPITAL DR
MADISON, TN
37115-5030

Practice Phone: 615-732-7662
Practice Fax:

1881341048 — ERIKA SUHRBIER BSN, RN, CCRN
Practice Location Address:

315 HOSPITAL DR
MADISON, TN
37115-5030

Practice Phone: 615-732-7662
Practice Fax:

1639880263 — OLIVIA GRAHAM SMITH
Practice Location Address:

315 HOSPITAL DR
MADISON, TN
37115-5030

Practice Phone: 615-732-7662
Practice Fax:

Directions to “ KESHIA THOMAS BCBA” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.