NPI 1114393212

Lisa Eberly, BCABALABA

Practitioner Assistant Behavior Analyst Roy, UT

Practice location

Address: 1858 W 5150 S, Roy, UT 84067-3000
Phone: (801) 255-5131
Fax: (801) 658-0604
Mailing address: 6013 S Redwood Rd, Taylorsville, UT 84123-5220

Registered specialties (2)

Assistant Behavior Analyst Primary

Behavioral Health & Social Service Providers Taxonomy 106E00000X Licence 10673594-2507 (UT)

Other Assistant Behavior Analyst providers in Utah →

Counselor

Behavioral Health & Social Service Providers Taxonomy 101Y00000X

Other Counselor providers in Utah →

Registry record

NPI: 1114393212
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 Aug 2015
Record last updated: 12 Apr 2022

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.