Quitibilla L Lyons, BCBA, LBA
Individual provider Active NPI Behavior Analyst · Washington, DC
NPI 1649746397 · NPPES record last updated Oct 21, 2018
Key facts
- NPI
- 1649746397
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- License
- LBA325 (MD)
- Practice address
- 1215 Simms PL NE Apt 3
Washington, DC 20002-7824 - Phone
- (240) 426-9002
- NPI assigned
- Oct 21, 2018
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| LBA325 | MD | MD | Behavioral Analyst |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | LBA325 | MD | Yes |
Addresses
Primary practice location
1215 Simms PL NE Apt 3
Washington, DC 20002-7824
Mailing address
1215 Simms PL NE Apt 3
Washington, DC 20002-7824
Phone (240) 426-9002
Other providers in Washington, DC
- Daniel P Lyons
- Laniejah India Lyons
- Leah Rose Lyons
- Lillie Vanessa Lyons
- Nicole A Lyons
- Raymond David Lyons
- Sawyer Lyons
- Timothy Roger Lyons
- Helena Patricia Lysandrou
- Charee Lytle
All providers in Washington, DC · Behavior Analyst in District of Columbia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 21, 2018. 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.