Lisa Marie Wedig, BCBA
Individual provider Active NPI Behavior Analyst · Cincinnati, OH
NPI 1578053294 · NPPES record last updated Nov 2, 2022
Key facts
- NPI
- 1578053294
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- License
- COBA.00437 (OH)
- Practice address
- 11083 Hamilton Ave
Cincinnati, OH 45231-1409 - Phone
- (513) 674-4200
- NPI assigned
- May 17, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| COBA.00437 | OH | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McKibben & Monte, LLC | Past |
Accepting new patients | |
| Cincinnati Center for Autism | Past | Accepting new patients | |
| Cincinnati Center for Autism | Behavior Analyst | Past | Accepting new patients |
| Hamilton County Educational Service Center | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | COBA.00437 | OH | Yes |
Addresses
Primary practice location
11083 Hamilton Ave
Cincinnati, OH 45231-1409
Mailing address
5615 Sarahs Oak Dr
Cincinnati, OH 45248-1044
Phone (513) 289-8080
Other practice location 1
7947 Tartan Fields Dr
Dublin, OH 43017-8778
Phone (614) 323-9469
Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 2, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.