Lisa M Upton, M.ED. AAC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1457525404 Issued in WA

Practice address

5301 Tieton Drive
Suite C
Yakima, WA 98908-3478

Phone

(509) 965-7100

Fax

(509) 966-9750

NPI assigned

Apr 21, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Miss Lisa Marie Yehl Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

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

{
    "created_epoch": "1208736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452643200000",
    "number": "1457525404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8815 S TACOMA WAY",
            "address_2": "SUITE 122",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984994587",
            "telephone_number": "253-682-0353",
            "fax_number": "253-682-0301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5301 TIETON DRIVE",
            "address_2": "SUITE C",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989083478",
            "telephone_number": "509-965-7100",
            "fax_number": "509-966-9750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UPTON",
        "first_name": "LISA",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "M.ED. AAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-21",
        "last_updated": "2016-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "RC00060345",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "WA",
            "license": "1457525404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "YEHL",
            "middle_name": "MARIE",
            "prefix": "MISS",
            "credential": "BA RC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Virginia Valdovinos
• Maria Valencia Oregon
• Dulce G Valencia Rendon

• Behavior Analyst in Yakima, WA
• Providers in Yakima, WA by specialty
• Behavior Analyst in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2016; 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.