Individual provider · Type 1 NPI

Gwendolyn Dacup Lisle

Behavior Technician · Lacey, WA

NPI number 1265028773 Active

Practice location

8282 28th Ct NE Ste A
Lacey, WA 98516-7162

Call (360) 915-6868 Map

Fax (360) 515-5783

Mailing address

498 Point Brown Ave NE
Ocean Shores, WA 98569-9348

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 1265028773

Gwendolyn Dacup Lisle's National Provider Identifier is 1265028773, issued on Dec 18, 2020. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in Lacey, WA. The record was last updated on Dec 18, 2020.