Individual provider · Type 1 NPI

Lisa Marie Wall

Behavior Analyst · Brick, NJ

NPI number 1104245513 Active

Practice location

496 Rena Ct
Brick, NJ 08724-7150

Other practice locations

  • 300 Market St Ste 200, Chapel Hill, NC 27516-4493 · (984) 528-8787

Specialties and licenses

TaxonomyCodeLicense
Behavior Analyst 103K00000XNone listed
Behavior Analyst 103K00000X3245 (NC)
Behavior Analyst Primary 103K00000X1-14-15120 (NJ)

Behavior Analyst: 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…

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About NPI 1104245513

Lisa Marie Wall's National Provider Identifier is 1104245513, issued on Apr 14, 2014. The primary taxonomy on file is Behavior Analyst (103K00000X), and the practice location is in Brick, NJ. The record was last updated on Aug 19, 2025.