Provider Demographics
NPI:1386283075
Name:THOMAS, CHRISTOPHER RAHEEM (LBS)
Entity type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:RAHEEM
Last Name:THOMAS
Suffix:
Gender:M
Credentials:LBS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2909D WYOMING DR
Mailing Address - Street 2:
Mailing Address - City:SINKING SPRING
Mailing Address - State:PA
Mailing Address - Zip Code:19608-1634
Mailing Address - Country:US
Mailing Address - Phone:610-621-3444
Mailing Address - Fax:
Practice Address - Street 1:1125 BERKSHIRE BLVD STE 100
Practice Address - Street 2:
Practice Address - City:WYOMISSING
Practice Address - State:PA
Practice Address - Zip Code:19610-1222
Practice Address - Country:US
Practice Address - Phone:610-621-3444
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-12-30
Last Update Date:2024-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PABH004682103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst