Lisa Wakefield
Behavior Technician in Cincinnati, OH. Individual provider (NPI-1).
NPI number1962007013
StatusActive
Last updated in NPPESDec 4, 2020
Details
- NPI
- 1962007013
- Entity type
- Individual (NPI-1)
- Name
- Lisa Wakefield
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 4, 2020
- Certification date
- Dec 4, 2020
- Last updated
- Dec 4, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
300 E Business WaySuite 200
Cincinnati, OH 45241-2384
Phone 303-989-8169
Mailing address
300 E Business WaySuite 200
Cincinnati, OH 45241-2384
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