Lisa Eberly, BCABA, LABA is a
Assistant Behavior Analyst based in Roy, Utah. Lisa Eberly is licensed to practice in Utah (license number 10673594-2507) and her current practice location is
1858 W 5150 S, Roy, Utah. She can be reached at her office (for appointments etc.) via phone at
(801) 255-5131.
NPI number for Lisa Eberly is 1114393212 and her current mailing address is 6013 S Redwood Rd, Taylorsville, Utah. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1114393212.
Healthcare Provider's Profile
Full Name | Lisa Eberly |
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Gender | Female |
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Speciality | Assistant Behavior Analyst |
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Location | 1858 W 5150 S, Roy, Utah |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1114393212
- Provider Enumeration Date: 08/12/2015
- Last Update Date: 04/12/2022
Medical Identifiers
Medical identifiers for Lisa Eberly such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1114393212 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | (* (Not Available)) | Secondary |
106E00000X | Assistant Behavior Analyst | 10673594-2507 (Utah) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lisa Eberly is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Lisa Eberly, BCABA, LABA 6013 S Redwood Rd, Taylorsville, UT 84123-5220 Ph: (801) 255-5131 | Lisa Eberly, BCABA, LABA 1858 W 5150 S, Roy, UT 84067-3000 Ph: (801) 255-5131 |
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