Lisa Sharon Cushing, PHD, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-01-0496 Issued in FL

Practice address

12525 S Pawnee Rd
Palos Park, IL 60464-1854

Phone

(708) 638-1627

NPI assigned

Jan 22, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1264118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264118400000",
    "number": "1265763767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12525 S PAWNEE RD",
            "city": "PALOS PARK",
            "state": "IL",
            "postal_code": "604641854",
            "telephone_number": "708-638-1627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12525 S PAWNEE RD",
            "city": "PALOS PARK",
            "state": "IL",
            "postal_code": "604641854",
            "telephone_number": "708-638-1627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUSHING",
        "first_name": "LISA",
        "middle_name": "SHARON",
        "name_prefix": "Dr.",
        "credential": "PHD, BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-22",
        "last_updated": "2010-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-01-0496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Greganthony A Cleofe, DC
• Kiann T Cleofe, DC
• Jennifer Colclasure, PHARMD
• Kristen Marie Conners, M.S., CCC-A
• Corazon R Benig MD SC
• Michelle L Dalton, FNP
• Helena Davis, FNP-BC
• Terence A Deady, D.D.S.
• Deana L. Fisher, P.C.
• Prashant G Deshpande, M.D.

• Behavior Analyst in Palos Park, IL
• Providers in Palos Park, IL by specialty
• Behavior Analyst in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2010; 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.