Thomas Fuqua, M. ED, BCBA, LBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

BA61422369 Issued in WA

Practice address

1622 Terminal Dr
Richland, WA 99354-4953

Phone

(360) 984-3131

NPI assigned

Apr 1, 2022

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

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.

• Discovery Behavior Solutions LLC

  • Community/Behavioral Health Agency
  • Vancouver, WA
  • NPI 1851838296
  NPD (past)
• Austin Connect to Wellness, LLC

  • Behavior Analyst
  • Austin, TX
  • NPI 1457784605
  NPD (past)

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

{
    "created_epoch": "1648771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718150400000",
    "number": "1962142257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8019 NE 13TH AVE",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986659604",
            "telephone_number": "360-984-3131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1622 TERMINAL DR",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993544953",
            "telephone_number": "360-984-3131"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8019 NE 13th Ave",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986659604",
            "country_code": "US",
            "telephone_number": "360-984-3131",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FUQUA",
        "first_name": "THOMAS",
        "credential": "M. ED, BCBA, LBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-04-01",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "WA",
            "license": "BA61422369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Terry Ann Frye, MS PT
• Full Spectrum Eye Care, P.S.
• Full Spectrum Eye Care, P.S.
• Full Spectrum Eye Care, PS
• Christina M Funaro-Pagani, DNP
• Annaliese Furlong, CP
• Brandon Spencer Furness, O.D.
• Olga Gadomskiy, LM
• Branden Leigh Gage
• Lisa Michelle Galbraith, D.O.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; 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.