Individual provider · Type 1 NPI

Candice Lisenby

Developmental Therapist · Indianapolis, IN

NPI number 1396673448 Active

Practice location

7042 Lesta Ct
Indianapolis, IN 46217-8411

Call (317) 360-5286 Map

Other practice locations

  • 1200 E 42nd St, Indianapolis, IN 46205-2004 · (317) 360-5286

Specialties and licenses

TaxonomyCodeLicense
Developmental Therapist Primary 222Q00000XNone listed

Developmental Therapist: A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Deve…

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About NPI 1396673448

Candice Lisenby's National Provider Identifier is 1396673448, issued on May 11, 2026. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Indianapolis, IN. The record was last updated on May 11, 2026.