Individual provider Active NPI

Naomi Furlong, BCBA

  • Behavior Analyst
  • Tucson, AZ
National Provider Identifier
1205251089
Registry record updated Oct 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-18-30256 Issued in CO
Practice address
6369 E Tanque Verde Rd Ste 100
Tucson, AZ 85715-3833
Phone
(303) 989-8169
Fax
(303) 984-4366
NPI assigned
Mar 3, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X BEH-000746 AZ
Behavior Analyst 103K00000X 1-18-30256 CO Primary

Addresses

Primary practice location

6369 E Tanque Verde Rd Ste 100
Tucson, AZ 85715-3833

Mailing address

390 Union Blvd Ste 300
Lakewood, CO 80228-6514
Phone (303) 989-8169

Other identifiers 1

IdentifierTypeStateIssuer
106S00000XMedicaidOR

Other names 1

  • Naomi Meulink Former name

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

State licenses

LicenseStateTypeSpecialty
BEH-000746AZMDBehavioral Analyst

NPI Registry JSON

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

{
    "created_epoch": "1393804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634688000000",
    "number": "1205251089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 UNION BLVD STE 300",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802286514",
            "telephone_number": "303-989-8169",
            "fax_number": "303-984-4366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6369 E TANQUE VERDE RD STE 100",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857153833",
            "telephone_number": "303-989-8169",
            "fax_number": "303-984-4366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FURLONG",
        "first_name": "NAOMI",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-03",
        "last_updated": "2021-10-20",
        "certification_date": "2021-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "AZ",
            "license": "BEH-000746",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CO",
            "license": "1-18-30256",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "106S00000X",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NAOMI",
            "last_name": "MEULINK",
            "credential": "BCBA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2021; 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.