Individual provider Active NPI

Lisa M Daniel-Way, MA, BCBA

  • Behavior Analyst
  • Clive, IA
National Provider Identifier
1215200225
Registry record updated May 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
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

Updated by the provider on May 3, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
095922IAMDBehavioral 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.

Verify at the official NPI Registry.