Individual provider · Type 1 NPI

Lisa Marie Wassermann

Behavior Technician · Golden Valley, MN

NPI number 1174480891 Active

Practice location

1710 Douglas Dr N Ste 224K
Golden Valley, MN 55422-4359

Call (612) 437-7246 Map

Fax (612) 473-3201

Mailing address

12539 177th Ave SE
Becker, MN 55308-4768

Specialties and licenses

Taxonomy	Code	License
Behavior Technician Primary	106S00000X	None 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 1174480891

Lisa Marie Wassermann's National Provider Identifier is 1174480891, issued on Jan 6, 2026. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in Golden Valley, MN. The record was last updated on Jan 6, 2026.