Individual
THOMAS FUQUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M. ED, BCBA, LBA
Contact information
Practice address
1622 TERMINAL DR, RICHLAND, WA 99354-4953
(360) 984-3131
Mailing address
8019 NE 13TH AVE, VANCOUVER, WA 98665-9604
(360) 984-3131
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BA61422369
WA
Other
Enumeration date
04/01/2022
Last updated
06/12/2024
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