Individual provider Active NPI

Caid Thomas Lico

  • Behavior Technician
  • Oak Harbor, WA
National Provider Identifier
1720930571
Registry record updated Feb 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
851 SE Pioneer Way Ste 201
Oak Harbor, WA 98277-5789
Phone
(360) 333-5684
Fax
(360) 230-3272
NPI assigned
Feb 13, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Primary

Addresses

Primary practice location

851 SE Pioneer Way Ste 201
Oak Harbor, WA 98277-5789

Mailing address

851 SE Pioneer Way Ste 201
Oak Harbor, WA 98277-5789
Phone (360) 333-5684

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.bluewateraba.com

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

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Water Behavioral Consulting LLC PastSince Aug 2, 2020 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": "1770940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770940800000",
    "number": "1720930571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "851 SE PIONEER WAY STE 201",
            "city": "OAK HARBOR",
            "state": "WA",
            "postal_code": "982775789",
            "telephone_number": "360-333-5684",
            "fax_number": "360-230-3272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "851 SE PIONEER WAY STE 201",
            "city": "OAK HARBOR",
            "state": "WA",
            "postal_code": "982775789",
            "telephone_number": "360-333-5684",
            "fax_number": "360-230-3272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LICO",
        "first_name": "CAID",
        "middle_name": "THOMAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-02-13",
        "last_updated": "2026-02-13",
        "certification_date": "2026-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.bluewateraba.com",
            "affiliation": "N",
            "endpointDescription": "Organization website",
            "address_1": "851 SE Pioneer Way Ste 201",
            "city": "Oak Harbor",
            "state": "WA",
            "country_code": "US",
            "postal_code": "982775789",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Oak Harbor, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 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.