Vanessa Eve Tucker, PH.D., BCBA-D

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

BA60811474 Issued in WA

Practice address

2732 38TH St SE
Puyallup, WA 98374-1943

Phone

(253) 391-6784

Fax

(877) 768-7946

NPI assigned

Jun 17, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Dr. Vanessa Eve Douglas Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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

• Basics NW LLC

  • Behavior Analyst
  • Raymond, WA
  • NPI 1073864849
  NPD (past)

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

{
    "created_epoch": "1339891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738713600000",
    "number": "1194088005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2732 38TH ST SE",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983741943",
            "telephone_number": "253-391-6784",
            "fax_number": "877-768-7946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2732 38TH ST SE",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983741943",
            "telephone_number": "253-391-6784",
            "fax_number": "877-768-7946"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1890 Barnes Blvd SW",
            "address_purpose": "LOCATION",
            "city": "Tumwater",
            "state": "WA",
            "postal_code": "985121435",
            "country_code": "US",
            "telephone_number": "360-915-6868",
            "fax_number": "360-547-6470",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "VANESSA",
        "middle_name": "EVE",
        "name_prefix": "Dr.",
        "credential": "PH.D., BCBA-D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-17",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "WA",
            "license": "1-12-10501",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "WA",
            "license": "BA60811474",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH CARE AUTHORITY HCA",
            "identifier": "BA60811474",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD CERTIFIED BEHAVIOR ANALYST",
            "identifier": "1-12-10501",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VANESSA",
            "last_name": "DOUGLAS",
            "middle_name": "EVE",
            "prefix": "DR.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Wendi Renee Trummert, OTR/L
• Cassie Truong, DDS
• Thanh-Thao Truong, DPT
• Alecia Tsermengas, RN
• Kimberly Tsutsui
• Gabrielle Tudella
• Eric B Tulley, M.D.
• Caroline Tung
• Stephanie Turbyfill, MTT
• Emily Katherine Ann Turnbull, ARNP, N.D., RN

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 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.