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LISA GRAVATT BCBA
NPI 1174929699
Behavior Analyst in California, MD

Active since November 11, 2014
22593 THREE NOTCH RD, CALIFORNIA, MD 20619(301) 862-2505(301) 862-2548 Get Directions Write a Review

NPPES record last updated: October 3, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 3, 2023, Mar 24, 2021 (2 updates tracked since 2021).

About Lisa Gravatt Bcba NPPES

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

LISA GRAVATT BCBA (NPI 1174929699) is an individual behavior analyst provider in California, Maryland, licensed in Maryland (1-14-15619) and active in the NPI registry since November 2014.

NPPES Registry Identity

NPI1174929699
Entity TypeIndividualFemale
Primary Taxonomy103K00000X
Provider Legal NameLISA GRAVATTCredential: BCBA
Location Address22593 THREE NOTCH RDCalifornia, MD 20619-3054
Mailing Address22593 Three Notch RdCalifornia, MD 20619-3054 · (301) 862-2505 · Fax (301) 862-2548
Phone(301) 862-2505
Fax(301) 862-2548
Sole ProprietorNo
Enumeration DateNovember 11, 2014
Last NPPES UpdateOctober 3, 20232 updates tracked since enumeration
NPPES CertifiedOctober 3, 2023
✔ NPI 1174929699 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers
Taxonomy Code103K00000X
License✔ Licensed in MD · 1-14-15619
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.
22593 THREE NOTCH RD, California, MD 20619
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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.

KARA CIANFLONE
Occupational Therapist
22593 THREE NOTCH RD
CALIFORNIA, MD 20619
St. Mary's County (301) 862-2505
JORDAN KINNEY
Specialist/Technologist (Speech-Language Assistant)
22593 THREE NOTCH RD
CALIFORNIA, MD 20619
St. Mary's County (301) 862-2505
ALYSSA PARRA
Behavior Technician
22593 THREE NOTCH RD
CALIFORNIA, MD 20619
St. Mary's County (301) 862-2505
TAYLOR KELLY CCC-SLP
Speech-Language Pathologist
22593 THREE NOTCH RD
CALIFORNIA, MD 20619
St. Mary's County (301) 862-2505
MS. BRANDI WEBB BCABA
Assistant Behavior Analyst
22593 THREE NOTCH RD
CALIFORNIA, MD 20619
St. Mary's County (301) 862-2505
MAKAYLA ESTRADA
Behavior Technician
22593 THREE NOTCH RD
CALIFORNIA, MD 20619
St. Mary's County (301) 862-2505
MERECHIA DAVIS
Behavior Technician
22593 THREE NOTCH RD
CALIFORNIA, MD 20619
St. Mary's County (301) 862-2505
DENISE BLAKEY PTA
Physical Therapy Assistant
22593 THREE NOTCH RD
CALIFORNIA, MD 20619
St. Mary's County (301) 862-2505

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lisa Gravatt's NPI number?

The NPI number for Lisa Gravatt is 1174929699. It was assigned to this individual provider in the NPPES registry on November 11, 2014.

Where is Lisa Gravatt located?

Lisa Gravatt practices at 22593 Three Notch Rd, California, MD 20619. The listed phone number is (301) 862-2505.

What is Lisa Gravatt's specialty?

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

When was this NPI record last updated?

The NPPES record for Lisa Gravatt was last updated on October 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.