Lisa Tullo, PH.D., BCBA-D

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-10-7656

Practice address

1893 Frays Ridge Xing
Earlysville, VA 22936-1878

Phone

(434) 962-8119

NPI assigned

Nov 23, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Choice Point, LLC

  • Behavior Analyst
  • Earlysville, VA
  • NPI 1558865360
  NPD (past) Authorized official

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

{
    "created_epoch": "1479859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479859200000",
    "number": "1922541903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1893 FRAYS RIDGE XING",
            "city": "EARLYSVILLE",
            "state": "VA",
            "postal_code": "229361878",
            "telephone_number": "434-962-8119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1893 FRAYS RIDGE XING",
            "city": "EARLYSVILLE",
            "state": "VA",
            "postal_code": "229361878",
            "telephone_number": "434-962-8119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TULLO",
        "first_name": "LISA",
        "name_prefix": "Dr.",
        "credential": "PH.D., BCBA-D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-23",
        "last_updated": "2016-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-10-7656",
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "VA",
            "license": "0133000840",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maggie Taylor McMullan
• Jean C Morris
• Charles E Myers Jr., MD
• Melissa M Poulin, RBT
• David Joseph Stone, M.D,
• David Frederick Volles, PHARMD
• Allyson Wharam, BCBA

• Behavior Analyst in Earlysville, VA
• Providers in Earlysville, VA by specialty
• Behavior Analyst in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 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.