MR. RICKY THATSANAVONGSA
NPI 1912475476
Behavior Analyst in Seattle, WA

Q: What is Ricky Thatsanavongsa's NPI number?

The NPI number for Ricky Thatsanavongsa is 1912475476. It was assigned to this individual provider in the NPPES registry on November 2, 2018.

Q: What is Ricky Thatsanavongsa's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

Active since November 02, 2018

2100 24TH AVE S STE 260, SEATTLE, WA 98144(206) 446-8813 Get Directions Write a Review

NPPES record last updated: November 5, 2018. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Nov 5, 2018, Nov 2, 2018 (2 updates tracked since 2018).

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About Mr. Ricky Thatsanavongsa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. RICKY THATSANAVONGSA (NPI 1912475476) is an individual behavior analyst provider in Seattle, Washington and active in the NPI registry since November 2018.

NPPES Registry Identity

NPI1912475476

Entity TypeIndividualMale

Primary Taxonomy103K00000X

Provider Legal NameMR. RICKY THATSANAVONGSA

Location Address2100 24TH AVE S STE 260Seattle, WA 98144-4644

Mailing Address2100 24th Ave S Ste 260Seattle, WA 98144-4644 · (206) 446-8813

Phone(206) 446-8813

Sole ProprietorNo

Enumeration DateNovember 2, 2018

Last NPPES UpdateNovember 5, 20182 updates tracked since enumeration

✔ NPI 1912475476 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers

Taxonomy Code103K00000X

Definition

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

2100 24TH AVE S STE 260, Seattle, WA 98144

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Other Identifiers 1

Medicaid1026117WA

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KATHRYN AMANDA LIDGARD LSWAIC

Social Worker (Clinical)