Most Relevant Information
Provider Data
| NPI Number: | 1003196411 |
| Provider Name: | LISA ANN WEISBECKER BCBA |
| Entity Type: | Individual |
| Taxonomy Code: | 103K00000X |
| Specialty: | Behavior Analyst |
| License Number: | 1-16-24927 |
Most Important Dates
| Enumeration Date: | 08/17/2011 |
| Last Updated: | 04/13/2017 |
Provider Practice Location
1105 W RUSSELL ST
SIOUX FALLS
SD
571041322
Practice Location Phone/Fax
| Phone: | 6052712690 |
| Fax: | 6052713956 |
Provider Mailing Location
1105 W RUSSELL ST
SIOUX FALLS
SD
571041322
Provider Mailing Phone/Fax
| Phone: | 6052712690 |
| Fax: | 6052713956 |