DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: ANDREW NICHOLAS THORNBURGH MA, BCBA, LBA, RBA

MEDICARE: ANDREW NICHOLAS THORNBURGH MA, BCBA, LBA, RBA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior Analyst61660534WA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1043605165
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREW NICHOLAS THORNBURGH MA, BCBA, LBA, RBA
Provider Business Mailing Address
First Line : 1409 W RIVER CT
Second Line :
City : VALRICO
State : FL
Zip : 33596-7858
Country : US
Telephone Number : 253-651-9602
Fax Number :
Provider Business Practice Location Address
First Line : 600 LAKE HOLLINGSWORTH DR
Second Line :
City : LAKELAND
State : FL
Zip : 33803-2364
Country : US
Telephone Number : 253-651-9602
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/06/2015
Last Update Date : 05/20/2026

Similar Medicare Providers

1639001035 — ASHLEE SAGE VERSWEYVELD
Practice Location Address:
600 LAKE HOLLINGSWORTH DR
LAKELAND, FL
33803-2364
Practice Phone: 844-244-1818
Practice Fax:
1184556599 — JOCELYN NEBEL
Practice Location Address:
600 LAKE HOLLINGSWORTH DR
LAKELAND, FL
33803-2364
Practice Phone: 863-277-6201
Practice Fax:
1568341071 — ARIANA TOOMEY
Practice Location Address:
600 LAKE HOLLINGSWORTH DR
LAKELAND, FL
33803-2364
Practice Phone: 863-277-6201
Practice Fax:
1376088757 — CAYLEY MILES BCBA, M.ED
Practice Location Address:
600 LAKE HOLLINGSWORTH DR
LAKELAND, FL
33803-2364
Practice Phone: 863-277-6201
Practice Fax:
1093250102 — COURTNEY CRIBBS BCBA
Practice Location Address:
600 LAKE HOLLINGSWORTH DR
LAKELAND, FL
33803-2364
Practice Phone: 863-670-0523
Practice Fax:
1558893032 — BREANNA SAINT PIERRE
Practice Location Address:
600 LAKE HOLLINGSWORTH DR
LAKELAND, FL
33803-2364
Practice Phone: 203-800-9273
Practice Fax:

Directions to “ ANDREW NICHOLAS THORNBURGH MA, BCBA, LBA, RBA” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.