Andrew A. Wade, PSYD, LBA, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

BA-326 Issued in AZ

Practice address

2800 N Highway 87
Coolidge, AZ 85128-9460

Phone

(520) 723-2600

NPI assigned

Apr 23, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1524441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757635200000",
    "number": "1831686161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12320 N PASEO PENUELA",
            "city": "MARANA",
            "state": "AZ",
            "postal_code": "856584704",
            "telephone_number": "520-834-5561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 N HIGHWAY 87",
            "city": "COOLIDGE",
            "state": "AZ",
            "postal_code": "851289460",
            "telephone_number": "520-723-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADE",
        "first_name": "ANDREW",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "PSYD, LBA, BCBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-23",
        "last_updated": "2025-09-12",
        "certification_date": "2021-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "AZ",
            "license": "BA-326",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF PSYCHOLOGIST EXAMINERS",
            "identifier": "BA-326",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEHAVIOR ANALYST CERTIFICATION BOARD (BACB)",
            "identifier": "1-17-27845",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kate L Trinh
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• Lawrence John Varey
• Randall David Vogelsang, MSW, LCSW, ACSW
• Karissa Lorraine Voss
• Wal-Mart Stores, Inc.
• Walgreen Co
• Walmart Inc.
• Ethan Walsh, DPT
• Catherine Ward, MS, CCC-SLP

• Behavior Analyst in Coolidge, AZ
• Providers in Coolidge, AZ by specialty
• Behavior Analyst in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.