Most Relevant Information
Provider Data
| NPI Number: | 1003303876 |
| Provider Name: | LISA R MCCARTHY |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/17/2018 |
| Last Updated: | 04/17/2018 |
Provider Practice Location
1011 DAVIS ST
DUBUQUE
IA
520011397
Practice Location Phone/Fax
| Phone: | 5635567878 |
| Fax: |
Provider Mailing Location
1011 DAVIS ST
DUBUQUE
IA
520011397
Provider Mailing Phone/Fax
| Phone: | 5635567878 |
| Fax: |