Active NPI
Lisa M Daniel-Way, MA, BCBA
- Behavior Analyst
- Clive, IA
National Provider Identifier
1215200225
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-11-8318
- Practice address
- 15284 Rosewood Dr
Clive, IA 50325-7867 - Phone
- (515) 601-5336
- NPI assigned
- Feb 22, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-11-8318 | Primary | |
| Behavior Analyst | 103K00000X | 095922 | IA | |
| Behavior Analyst | 103K00000X | 1871 | CT |
Addresses
Primary practice location
15284 Rosewood Dr
Clive, IA 50325-7867
Mailing address
15284 Rosewood Dr
Clive, IA 50325-7867
Phone (515) 601-5336
Other practice location 1
500 4th St NW Ste 102
Albuquerque, NM 87102-2104
Phone (505) 356-7650
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 095922 | IA | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1329868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714694400000",
"number": "1215200225",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15284 ROSEWOOD DR",
"city": "CLIVE",
"state": "IA",
"postal_code": "503257867",
"telephone_number": "515-601-5336"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15284 ROSEWOOD DR",
"city": "CLIVE",
"state": "IA",
"postal_code": "503257867",
"telephone_number": "515-601-5336"
}
],
"practiceLocations": [
{
"address_1": "500 4th St NW Ste 102",
"address_purpose": "LOCATION",
"city": "Albuquerque",
"state": "NM",
"postal_code": "871022104",
"country_code": "US",
"telephone_number": "505-356-7650",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DANIEL-WAY",
"first_name": "LISA",
"middle_name": "M",
"credential": "MA, BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-02-22",
"last_updated": "2024-05-03",
"certification_date": "2024-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": "1-11-8318",
"primary": true
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "IA",
"license": "095922",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CT",
"license": "1871",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clive, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.