LISA NEELY BCBA
Complete NPI Record 1285157644
Behavior Analyst in Alamogordo, NM
Active since July 18, 2017
Complete NPI Dataset
This page contains the complete raw NPPES record for Lisa Neely, BCBA (NPI 1285157644), an individual behavior analyst provider in Alamogordo, NM. All 36 fields on file are listed with their current values and official NPPES definitions, exactly as recorded in the National Plan and Provider Enumeration System. Only fields that contain data are included, so the number of fields shown varies from one NPI record to another.
Use the tools below to filter fields by category, search within the record, or jump straight to a specific field. You can download the full record as a CSV, JSON, or text file, or filter first and export only the fields you need. The Print Clean Summary button produces a printer-friendly copy of the record.
Registry File Document Utilities
- NPI: 1285157644 Field 1/36
- The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
- Entity Type Code: 1 Field 2/36
- Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
- Provider Last Name Legal Name: NEELY Field 3/36
- The last name of the provider. If the provider is an individual, this is the legal name.
- Provider First Name: LISA Field 4/36
- The first name of the provider, if the provider is an individual.
- Provider Credential Text: BCBA Field 5/36
- The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.
- Provider First Line Business Mailing Address: 1408 8TH ST Field 6/36
- The first line mailing address of the provider being identified. This data element may contain the same information as "Provider first line location address".
- Provider Business Mailing Address City Name: ALAMOGORDO Field 7/36
- The city name in the mailing address of the provider being identified.
- Provider Business Mailing Address State Name: NM Field 8/36
- The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address State name".
- Provider Business Mailing Address Postal Code: 883105115 Field 9/36
- The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as "Provider location address postal code".
- Provider Business Mailing Address Country Code If outside U S : US Field 10/36
- The country code in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address country code".
- Provider Business Mailing Address Telephone Number: 8662732451 Field 11/36
- The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
- Provider Business Mailing Address Fax Number: 8666085560 Field 12/36
- The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as "Provider location address fax number".
- Provider First Line Business Practice Location Address: 1408 8TH ST Field 13/36
- The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
- Provider Business Practice Location Address City Name: ALAMOGORDO Field 14/36
- The city name in the location address of the provider being identified.
- Provider Business Practice Location Address State Name: NM Field 15/36
- The State code in the location of the provider being identified.
- Provider Business Practice Location Address Postal Code: 883105115 Field 16/36
- The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
- Provider Business Practice Location Address Country Code If outside U S : US Field 17/36
- The country code in the location address of the provider being identified.
- Provider Business Practice Location Address Telephone Number: 8662732451 Field 18/36
- The telephone number associated with the location address of the provider being identified.
- Provider Business Practice Location Address Fax Number: 8666085560 Field 19/36
- The fax number associated with the location address of the provider being identified.
- Provider Gender Code: F Field 22/36
- The code designating the provider's gender if the provider is a person.
- Healthcare Provider Taxonomy Code 1: 103K00000X Field 23/36
- This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.
- Provider License Number 1: 1-17-26740 Field 24/36
- The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with "provider taxonomy code".
- Provider License Number State Code 1: IN Field 25/36
- The two-letter state code representing the U.S. state or territory that issued the provider's license. This field is linked to the Provider License Number field and identifies the jurisdiction where that license is valid. A provider may have multiple state codes if they hold licenses in more than one state.
- Healthcare Provider Primary Taxonomy Switch 1: Y Field 26/36
- This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.
- Healthcare Provider Taxonomy Code 2: 103K00000X Field 27/36
- This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.
- Provider License Number 2: 311-140 Field 28/36
- The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with "provider taxonomy code".
- Provider License Number State Code 2: WI Field 29/36
- The two-letter state code representing the U.S. state or territory that issued the provider's license. This field is linked to the Provider License Number field and identifies the jurisdiction where that license is valid. A provider may have multiple state codes if they hold licenses in more than one state.
- Healthcare Provider Primary Taxonomy Switch 2: N Field 30/36
- This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.
- Other Provider Identifier 1: 1-17-26740 Field 31/36
- An additional identifier number for the provider, either current or previously used. This may include IDs issued by health plans, state agencies, or other organizations. The value is collected from the NPI application or update form.
- Other Provider Identifier Type Code 1: 01 Field 32/36
- A code that specifies the type of additional identifier associated with the provider, either current or past. Examples include UPIN (Universal Provider Identification Number), NSC (National Supplier Clearinghouse), OSCAR (CMS Certification Number), DEA (Drug Enforcement Administration number), state Medicaid ID, or a plan-specific PIN. The value is collected from the NPI application or update form.
- Other Provider Identifier State 1: IN Field 33/36
- The two-letter state code representing the U.S. state or territory that issued the additional provider identifier. This links the Other Provider Identifier to the state where it is valid or was assigned.
- Other Provider Identifier Issuer 1: BCBA Field 34/36
- The name of the organization, agency, or health plan that assigned the additional provider identifier. This identifies who issued the number linked to Other Provider Identifier 1 (for example, a state Medicaid agency, Medicare, or a private insurance company).
- Is Sole Proprietor: N Field 35/36
- Indicates whether the provider is registered as a sole proprietor. This is a single-character code: "Y" means the provider operates as a sole proprietor, and "N" means they do not.
Secondary Practice Locations 18
The first line of the secondary practice location address of the provider being identified. For providers with more than one physical location, this is a secondary practice location address. This address cannot include a Post Office box.
100 Gossett Dr Ste B
Location 1/18Aztec, NM 87410-4529 · Phone (866) 273-2451 · Fax (866) 608-5560
809 W Riordan Rd Ste 100
Location 2/18Flagstaff, AZ 86001-0810 · Phone (866) 273-2451 · Fax (866) 608-5560
2900 E. Broadway Blvd. Ste 100 #1206
Location 3/18Tuscon, AZ 85716-5344 · Phone (866) 273-2451 · Fax (866) 608-5560
21168 E Ocotillo Rd # 1078
Location 4/18Queen Creek, AZ 85142-8175 · Phone (866) 273-2451 · Fax (866) 608-5560
186 E Sheldon St # 1119
Location 5/18Prescott, AZ 86301-3114 · Phone (866) 273-2451 · Fax (866) 608-5560
2350 W Highway 89A
Location 6/18Sedona, AZ 86336-5344 · Phone (866) 273-2451 · Fax (866) 608-5560
2301 E 20th St
Location 7/18Farmington, NM 87401-8905 · Phone (866) 273-2451 · Fax (866) 608-5560
950 W Aztec Ave
Location 8/18Gallup, NM 87301-6666 · Phone (866) 273-2451 · Fax (866) 608-5560
301 N Canyon St
Location 9/18Carlsbad, NM 88220-5809 · Phone (866) 273-2451 · Fax (866) 608-5560
201 N 4th St
Location 10/18Artesia, NM 88210-2168 · Phone (866) 273-2451 · Fax (866) 608-5560
221 N Kansas St Ste 700
Location 11/18El Paso, TX 79901-1444 · Phone (866) 273-2451 · Fax (866) 608-5560
2705 S Alma School Rd Ste 2
Location 12/18Chandler, AZ 85286-4400 · Phone (866) 273-2451 · Fax (866) 608-5560
115 E College Blvd
Location 13/18Roswell, NM 88201-5158 · Phone (866) 273-2451 · Fax (866) 608-5560
500 N Hudson St
Location 14/18Silver City, NM 88061-5435 · Phone (866) 273-2451 · Fax (866) 608-5560
1224 W 21st St
Location 15/18Clovis, NM 88101-4199 · Phone (866) 273-2451 · Fax (866) 608-5560
6565 Americas Pkwy NE Ste 200
Location 16/18Albuquerque, NM 87110-8172 · Phone (866) 273-2451 · Fax (866) 608-5560
201 E Las Cruces Ave Ste 1501
Location 17/18Las Cruces, NM 88001-3488 · Phone (866) 273-2451 · Fax (866) 608-5560
1012 Marquez Pl Unit 106B
Location 18/18Santa Fe, NM 87505-1833 · Phone (866) 273-2451 · Fax (866) 608-5560
Other Provider Identifiers 1
Legacy and payer-issued identifiers reported to the NPPES registry for this provider.
1-17-26740 Other
Identifier 1/1State: IN · Issuer: Bcba
Other: An additional provider identifier that does not correspond to any of the other defined identifier type categories.
Other: An additional provider identifier that does not correspond to any of the other defined identifier type categories.
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