Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1164795738 Individual Practitioner Female Practitioner

Lysa Mari Haraway , BCBA

Behavior Analyst • Fayetteville, GA

Professional Overview & Biography Verified Profile Summary

Lysa Haraway, BCBA is a registered healthcare professional specializing in Behavior Analyst in Fayetteville, GA. Practice services are available at 290 HIGHWAY 314 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

290 Highway 314

Fayetteville, GA 302147813

Telephone 4049947727
Fax 4049947728
Associated Practice Facility / Clinic
🏢 Olistell, Inc. Facility NPI 1841269768

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Fayetteville, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 9.0 Yrs
Regional Practice Density
32 Specialists

Practicing in Fayetteville, GA (2715 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: 2026-01-21
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

State License GA LBA000127

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

23 Associated Practitioners
Elector Hill

Behavior Technician

NPI 1043997158
Victoria Davis

Occupational Therapist

NPI 1104716729
Philip Garner

Behavior Analyst

NPI 1134009020
Krystle Penn

Massage Therapist

NPI 1154877363
Rashad Jackson , OTR

Occupational Therapist

NPI 1164068292

Occupational Therapist Registered

Kayla Peeples , OT

Occupational Therapist

NPI 1164992475

Occupational Therapist

Career & Practice History Timeline

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

11 Historical Events
📍
Updated Practice Location January 21, 2026

Registered at 290 HIGHWAY 314, FAYETTEVILLE, GA 302147813 (Tel: 4049947727)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 21, 2026

Behavior Analyst (License #LBA000127 in GA)

📍
Updated Practice Location December 16, 2024

Registered at 41769 ENTERPRISE CIR N STE 104, TEMECULA, CA 925905626 (Tel: 9512533766)

📍
Updated Business Mailing Address December 16, 2024

Registered at 41769 ENTERPRISE CIR N STE 104, TEMECULA, CA 925905626 (Tel: 9512533766)

👤
Provider Name / Credentials Updated December 16, 2024

Recorded as LYSA HARAWAY, BCBA

NPI Profile Active February 13, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location February 13, 2012

Registered at 2550 N HOLLYWOOD WAY, #304, BURBANK, CA 915051055 (Tel: 8662785011)

📍
Updated Business Mailing Address February 13, 2012

Registered at 2550 N HOLLYWOOD WAY, #304, BURBANK, CA 915051055 (Tel: 8662785011)

👤
Provider Name / Credentials Updated February 13, 2012

Recorded as LYSA SNOWDEN, BCBA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 13, 2012

Behavior Analyst (License #1-06-2710 in None)

🟢
Initial NPI Registration & Enumeration February 13, 2012

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: 1164795738
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 13, 2012
Last Update: January 21, 2026
Sole Proprietor: No

Mailing Address

41769 Enterprise Cir N Ste 104

Temecula, CA 925905626

Phone: 9512533766

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.