LISA WITHROW
NPI 1104493923
Behavior Analyst in Fayetteville, NC

Q: What is Lisa Withrow's NPI number?

The NPI number for Lisa Withrow is 1104493923. It was assigned to this individual provider in the NPPES registry on June 9, 2021.

Q: What is Lisa Withrow's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

Q: When was this NPI record last updated?

The NPPES record for Lisa Withrow was last updated on November 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 09, 2021

2919 BREEZEWOOD AVE STE 101, FAYETTEVILLE, NC 28303(910) 484-1711 Get Directions Write a Review

NPPES record last updated: November 20, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 20, 2024, Aug 2, 2021, Jun 9, 2021 (3 updates tracked since 2021).

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About Lisa Withrow NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LISA WITHROW (NPI 1104493923) is an individual behavior analyst provider in Fayetteville, North Carolina, licensed in North Carolina (2151) and active in the NPI registry since June 2021.

NPPES Registry Identity

NPI1104493923

Entity TypeIndividualFemale

Primary Taxonomy103K00000X

Provider Legal NameLISA WITHROW

Location Address2919 BREEZEWOOD AVE STE 101Fayetteville, NC 28303-5283

Mailing Address2919 Breezewood Ave Ste 101Fayetteville, NC 28303-5283 · (910) 484-1711

Phone(910) 484-1711

Sole ProprietorYes

Enumeration DateJune 9, 2021

Last NPPES UpdateNovember 20, 20243 updates tracked since enumeration

NPPES CertifiedNovember 20, 2024

✔ NPI 1104493923 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers

Taxonomy Code103K00000X

License✔ Licensed in NC · 2151

Definition

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Also ListedBehavior TechnicianTaxonomy 106S00000X · License RBT-19-84076 (NC)

2919 BREEZEWOOD AVE STE 101, Fayetteville, NC 28303

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JESSIE STEELE

Behavior Technician