Individual provider Active NPI

Brandon Thurman, LAC, BCBA, CRC

  • Behavior Analyst
  • Fayetteville, AR
National Provider Identifier
1578978672
Registry record updated Apr 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
525 S School Ave Apt 460
Fayetteville, AR 72701-5918
Phone
(479) 222-0604
Fax
(479) 379-6177
NPI assigned
Jun 26, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2026

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 Primary
Mental Health Counselor 101YM0800X A2602022 AR

Addresses

Primary practice location

525 S School Ave Apt 460
Fayetteville, AR 72701-5918

Mailing address

525 S School Ave Apt 460
Fayetteville, AR 72701-5918
Phone (479) 222-0604

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
A2602022ARMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Riverbend Therapies, LLC Mental Health CurrentSince Jun 18, 2023 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1403740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775606400000",
    "number": "1578978672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 S SCHOOL AVE APT 460",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727015918",
            "telephone_number": "479-222-0604",
            "fax_number": "479-379-6177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 S SCHOOL AVE APT 460",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727015918",
            "telephone_number": "479-222-0604",
            "fax_number": "479-379-6177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THURMAN",
        "first_name": "BRANDON",
        "name_prefix": "Mr.",
        "credential": "LAC, BCBA, CRC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-26",
        "last_updated": "2026-04-08",
        "certification_date": "2026-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AR",
            "license": "A2602022",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 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.

Verify at the official NPI Registry.