MARY LISBON
NPI 1194230631
Behavior Technician in Odessa, FL

Active since December 06, 2017
16414 LAKE CHURCH DR, ODESSA, FL 33556(813) 926-5414 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 17, 2018, Dec 13, 2017, Dec 6, 2017 (3 updates tracked since 2017).

About Mary Lisbon NPPES

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

MARY LISBON (NPI 1194230631) is an individual behavior technician in Odessa, Florida and active in the NPI registry since December 2017. She maintains a secondary practice location in Dade City.

NPPES Registry Identity

NPI1194230631
Entity TypeIndividualFemale
Primary Taxonomy106S00000X
Provider Legal NameMARY LISBON
Location Address16414 LAKE CHURCH DROdessa, FL 33556-2637
Mailing Address9501 Starline DrDade City, FL 33525-1406
Sole ProprietorYes
Enumeration DateDecember 6, 2017
Last NPPES UpdateMarch 17, 20183 updates tracked since enumeration
NPI 1194230631 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyBehavior TechnicianBehavioral Health & Social Service Providers
Taxonomy Code106S00000X
Definition
The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.
16414 LAKE CHURCH DR, Odessa, FL 33556

Secondary Practice Location 1

Location 19501 Starline DrDade City, FL 33525-1406 · Phone (352) 942-3153

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.

Behavior Technician
16414 LAKE CHURCH DR
ODESSA, FL 33556
Behavior Technician
16414 LAKE CHURCH DR
ODESSA, FL 33556
Behavior Analyst
16414 LAKE CHURCH DR
ODESSA, FL 33556
Behavior Technician
16414 LAKE CHURCH DR
ODESSA, FL 33556
Behavior Technician
16414 LAKE CHURCH DR
ODESSA, FL 33556
Behavior Analyst
16414 LAKE CHURCH DR
ODESSA, FL 33556
Behavior Technician
16414 LAKE CHURCH DR
ODESSA, FL 33556
Behavior Technician
16414 LAKE CHURCH DR
ODESSA, FL 33556

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 Mary Lisbon's NPI number?

The NPI number for Mary Lisbon is 1194230631. It was assigned to this individual provider in the NPPES registry on December 6, 2017.

Where is Mary Lisbon located?

Mary Lisbon practices at 16414 Lake Church Dr, Odessa, FL 33556. The listed phone number is (813) 926-5414.

What is Mary Lisbon's specialty?

The primary specialty registered for this NPI is Behavior Technician with taxonomy code 106S00000X.

When was this NPI record last updated?

The NPPES record for Mary Lisbon was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.