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Deactivated NPI 1205120458 Deactivated / Inactive NPI Female Practitioner

Lisa J. Wainio

Behavior Analyst • Evergreen, CO

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Lisa Wainio has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 06, 2011
NPI Deactivation Date June 19, 2020
Total Practice Duration ~9 Years of Practice (2011 – 2020)

Professional Overview & Biography Verified Profile Summary

Lisa Wainio was a registered Behavior Analyst practicing in Evergreen, CO. Throughout an active medical career spanning 9 years, Lisa Wainio provided care at the practice location at 6454 JOAN LN until profile deactivation on 2020-06-19.

Practice Location & Contact Primary Location

Practice Address

6454 Joan Ln

Evergreen, CO 804397012

Telephone 5087251872
Associated Practice Facility / Clinic
🏢 Cub Creek Therapy Facility NPI 1063038644

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Evergreen, CO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.0 Yrs
Regional Practice Density
22 Specialists

Practicing in Evergreen, CO (2264 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-07-17
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

State License None 1-11-8305

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

16 Historical Events
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Updated Practice Location July 17, 2020

Registered at 6454 JOAN LN, EVERGREEN, CO 804397012 (Tel: 5087251872)

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Updated Business Mailing Address July 17, 2020

Registered at 6454 JOAN LN, EVERGREEN, CO 804397012 (Tel: 5087251872)

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Provider Name / Credentials Updated July 17, 2020

Recorded as LISA WAINIO

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 17, 2020

Behavior Analyst (License #1-11-8305 in None)

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NPI Profile Deactivated June 19, 2020

Record deactivated on June 19, 2020

NPI Profile Active March 03, 2017

NPI status registered as active in NPPES database

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Updated Practice Location March 03, 2017

Registered at 6454 JOAN LN, EVERGREEN, CO 804397012 (Tel: 5087251872)

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Updated Business Mailing Address March 03, 2017

Registered at 6454 JOAN LN, EVERGREEN, CO 804397012 (Tel: 5087251872)

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Provider Name / Credentials Updated March 03, 2017

Recorded as LISA WAINIO

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 03, 2017

Behavior Analyst (License #1-11-8305 in None)

NPI Profile Active June 06, 2011

NPI status registered as active in NPPES database

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Updated Practice Location June 06, 2011

Registered at 2708 NE 14TH STREET SUITE 5, POMPANO BEACH, FL 33062 (Tel: 8888809270)

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Updated Business Mailing Address June 06, 2011

Registered at 346 NW 23RD ST, BOCA RATON, FL 33431 (Tel: 5087251872)

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Provider Name / Credentials Updated June 06, 2011

Recorded as LISA WAINIO

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 06, 2011

Developmental Therapist

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Initial NPI Registration & Enumeration June 06, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1205120458
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 06, 2011
Last Update: July 17, 2020
Deactivation Date: June 19, 2020
Sole Proprietor: Yes

Mailing Address

6454 Joan Ln

Evergreen, CO 804397012

Phone: 5087251872

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.