Lisa Michelle Allan

Individual provider Active NPI Behavior Technician · Vancouver, WA

NPI 1972156016 · NPPES record last updated Jul 18, 2019

Key facts

NPI
1972156016
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
9901 NE 7TH Ave Ste C116
Vancouver, WA 98685-4528
Phone
(360) 571-2432
NPI assigned
Jul 18, 2019
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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

9901 NE 7TH Ave Ste C116
Vancouver, WA 98685-4528

Mailing address

21600 Oxnard St Ste 1800
Woodland Hills, CA 91367-7807
Phone (818) 345-2345

Other names

  • Lisa Michelle Martinez Former name

Other providers in Vancouver, WA

All providers in Vancouver, WA · Behavior Technician in Washington

Sources for this page

Verify at the official NPI Registry.