Lisa Michelle Nelson

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

ABA-B-10229384 Issued in OR

Practice address

710 Waverly Dr SE
Albany, OR 97322-5079

Phone

(541) 223-2847

NPI assigned

Jun 25, 2021

Sex

Female

Sole proprietor

No

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

State licenses

Practice roles

Locations

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.

• Burton Behavioral Interventions Corp

  • Behavior Analyst
  • Albany, OR
  • NPI 1497339451
  NPD

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

{
    "created_epoch": "1624579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674777600000",
    "number": "1780254409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2532 SANTIAM HWY SE # 114",
            "city": "ALBANY",
            "state": "OR",
            "postal_code": "973225211",
            "telephone_number": "541-223-2847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 WAVERLY DR SE",
            "city": "ALBANY",
            "state": "OR",
            "postal_code": "973225079",
            "telephone_number": "541-223-2847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "LISA",
        "middle_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-25",
        "last_updated": "2023-01-27",
        "certification_date": "2023-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "OR",
            "license": "ABA-B-10229384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brent Richard Nelson
• Christine Nelson, OTR/L
• Danette Aleen Nelson, FNP
• Donald R Nelson, PHD
• Elizabeth Ann Nelson, PTA
• Jonathan Neumann, DC
• Kaitlyn Neumann, RBT
• Carolyn J Neve, LCSW
• New Hope Counseling of Albany
• New Hope Counseling of Albany

• Behavior Analyst in Albany, OR
• Providers in Albany, OR by specialty
• Behavior Analyst in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2023; 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.