Lisa Marie Nalley, M.ED., BCBA

Individual provider Active NPI Behavior Analyst · Clarkesville, GA

NPI 1245740539 · NPPES record last updated Sep 23, 2024

Key facts

NPI
1245740539
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Analyst 103K00000X
Practice address
125 Professional Park Dr
Clarkesville, GA 30523-5524
Phone
(734) 626-0769
NPI assigned
Oct 2, 2017
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Education

Practice roles

OrganizationSpecialtyStatusNew patients
Foothills Behavior Associates LLC Behavior Analyst Current
since Sep 29, 2024
Accepting new patients

Locations

125 Professional Park Dr
Clarkesville, GA 30523
Phone (706) 754-1855

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X Yes

Addresses

Primary practice location

125 Professional Park Dr
Clarkesville, GA 30523-5524

Mailing address

125 Professional Park Dr
Clarkesville, GA 30523-5524
Phone (734) 626-0769

Other providers in Clarkesville, GA

All providers in Clarkesville, GA · Behavior Analyst in Georgia

Sources for this page

Verify at the official NPI Registry.