Individual provider · Type 1 NPI

Ilyssa Kisa

Behavior Technician · Santa Teresa, NM

NPI number 1083594923 Active

Practice location

1255 Country Club Rd Ste D
Santa Teresa, NM 88008-9707

Fax (575) 288-1889

Mailing address

1250 Hillrise Cir
Las Cruces, NM 88011-4741

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician Primary 106S00000XNone listed

Behavior Technician: 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…

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About NPI 1083594923

Ilyssa Kisa's National Provider Identifier is 1083594923, issued on Sep 3, 2025. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in Santa Teresa, NM. The record was last updated on Sep 3, 2025.