Individual provider · NPI-1

Lisa Christine Blount

Behavior Analyst · Santa Fe, NM

NPI number1598252546
StatusActive
Last updated in NPPESApr 16, 2018

Details

NPI
1598252546
Entity type
Individual (NPI-1)
Name
Lisa Christine Blount
Sex
Female
Sole proprietor
No
Enumeration date
Apr 16, 2018
Last updated
Apr 16, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103K00000X Behavior Analyst––Yes

Other names

  • Lisa C Fairbanks (Former Name)

Practice location

4001 Office Court Dr Ste 706
Santa Fe, NM 87507-4958

Phone 505-395-9611

Mailing address

21600 Oxnard St Ste 1800
Woodland Hills, CA 91367-7807

Phone 818-345-2345

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