Tricia Boushack, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-18-29262 Issued in WA

Practice address

744 Fawcett Ave
Tacoma, WA 98402-5505

Phone

(425) 292-9171

NPI assigned

Feb 9, 2018

Last updated

Jan 22, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Tricia Torgeson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Firefly ABA

  dba Bright Star Behavior Services

  • Developmental Disabilities Clinic/Center
  • Tacoma, WA
  • NPI 1831089739
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1518134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737504000000",
    "number": "1053810663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15022 47TH AVE E",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984464038",
            "telephone_number": "253-307-1302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "744 FAWCETT AVE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984025505",
            "telephone_number": "425-292-9171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUSHACK",
        "first_name": "TRICIA",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-09",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "WA",
            "license": "1-18-29262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRICIA",
            "last_name": "TORGESON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Grace Bouker, MSOT
• Thomas Boulding, PA-C
• Jess W Bouma, MD
• Lee Mason Bourdeau, MD
• Kenneth Stephen Bourque, CDPT
• Phillip M Bouterse, MD
• Donald Alan Boutry, MD
• David Karl Bowden
• Bowen Counseling Services
• Theresa Evelyn Bowen-Crawford, LW

• Behavior Analyst in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Behavior Analyst in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.