NPI 1104245513

Lisa Marie Wall

Practitioner Behavior Analyst Brick, NJ

Practice location

Address: 496 Rena CT, Brick, NJ 08724-7150
Phone: (848) 448-4002

Registered specialties (3)

Behavior Analyst Primary

Behavioral Health & Social Service Providers Taxonomy 103K00000X Licence 1-14-15120 (NJ)

Other Behavior Analyst providers in New Jersey →

Behavior Analyst

Behavioral Health & Social Service Providers Taxonomy 103K00000X

Behavior Analyst

Behavioral Health & Social Service Providers Taxonomy 103K00000X Licence 3245 (NC)

Registry record

NPI: 1104245513
Entity type: Individual
Sex (as registered): Female
NPI issued: 14 Apr 2014
Record last updated: 19 Aug 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.