Lisa A Lawler

Individual provider Active NPI Behavior Analyst · Clifton, NJ

NPI 1093300147 · NPPES record last updated Mar 1, 2021

Key facts

NPI
1093300147
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Analyst 103K00000X
License
BACB279817 (NJ)
Practice address
923 Van Houten Ave Apt A1
Clifton, NJ 07013-2720
Phone
(190) 880-3480
NPI assigned
Mar 1, 2021
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
BACB279817NJMDBehavioral Analyst

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X BACB279817 NJ Yes

Addresses

Primary practice location

923 Van Houten Ave Apt A1
Clifton, NJ 07013-2720

Mailing address

923 Van Houten Ave Apt A1
Clifton, NJ 07013-2720
Phone (190) 880-3480

Other providers in Clifton, NJ

All providers in Clifton, NJ · Behavior Analyst in New Jersey

Sources for this page

Verify at the official NPI Registry.