Active NPI
Andrew Nicholas Thornburgh, MA, BCBA, LBA, RBA
- Behavior Analyst
- Lakeland, FL
National Provider Identifier
1043605165
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 61660534
- Practice address
- 600 Lake Hollingsworth Dr
Lakeland, FL 33803-2364 - Phone
- (253) 651-9602
- NPI assigned
- Apr 6, 2015
- Last updated
- May 20, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 61660534 | WA | Primary |
Addresses
Primary practice location
600 Lake Hollingsworth Dr
Lakeland, FL 33803-2364
Mailing address
1409 W River CT
Valrico, FL 33596-7858
Phone (253) 651-9602
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61660534 | WA | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1428278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779235200000",
"number": "1043605165",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1409 W RIVER CT",
"city": "VALRICO",
"state": "FL",
"postal_code": "335967858",
"telephone_number": "253-651-9602"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 LAKE HOLLINGSWORTH DR",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338032364",
"telephone_number": "253-651-9602"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THORNBURGH",
"first_name": "ANDREW",
"middle_name": "NICHOLAS",
"credential": "MA, BCBA, LBA, RBA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-04-06",
"last_updated": "2026-05-20",
"certification_date": "2026-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "WA",
"license": "61660534",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lakeland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.