Charryse Fouquette Luckey, PH.D, BCBA-D
NPI 1073006524ActiveIndividual· Psychologist, Clinical· Saint Cloud, MN
Psychologist, Clinical (PH.D, BCBA-D) in Saint Cloud, Minnesota, licensed in MN, with an NPI issued in June 2018.
Overview
| NPI | 1073006524 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PH.D, BCBA-D |
| Sole proprietor | No |
| NPI issued | Jun 10, 2018 |
| Last updated in NPPES | Oct 26, 2022 |
| Certified by provider | Oct 26, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | 6660 | MN |
| Behavior Analyst | 103K00000X | 1-05-2231 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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