Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1104493923 Individual Practitioner Female Practitioner

Lisa Withrow

Behavior Analyst • Fayetteville, NC

Professional Overview & Biography Verified Profile Summary

Lisa Withrow is a registered healthcare professional specializing in Behavior Analyst in Fayetteville, NC. Practice services are available at 2919 BREEZEWOOD AVE STE 101 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2919 Breezewood Ave Ste 101

Fayetteville, NC 283035283

Telephone 9104841711
Associated Practice Facility / Clinic
🏢 Autism Therapeutic Services Facility NPI 1598067449

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Fayetteville, NC

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 5.0 Yrs
Regional Practice Density
127 Specialists

Practicing in Fayetteville, NC (2354 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: 2024-11-20
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

State License NC 2151

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.

Behavior Technician

NUCC Taxonomy Code: 106S00000X

State License NC RBT-19-84076

The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.

Practice Associates & Co-Workers

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

40 Associated Practitioners
Breana Wilson

Behavior Technician

NPI 1003612318
Faith Martin

Behavior Technician

NPI 1003670084
Jessie Steele

Behavior Technician

NPI 1013583707
Alexandra Meek

Behavior Technician

NPI 1013584671
Taylor Freeman

Behavior Technician

NPI 1013651405
Ashli Moore

Behavior Technician

NPI 1013671619

Career & Practice History Timeline

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

7 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 02, 2021

Behavior Technician (License #RBT-19-84076 in NC)

NPI Profile Active June 09, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location June 09, 2021

Registered at 2919 BREEZEWOOD AVE STE 101, FAYETTEVILLE, NC 283035283 (Tel: 9104841711)

📍
Updated Business Mailing Address June 09, 2021

Registered at 2919 BREEZEWOOD AVE STE 101, FAYETTEVILLE, NC 283035283 (Tel: 9104841711)

👤
Provider Name / Credentials Updated June 09, 2021

Recorded as LISA WITHROW

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 09, 2021

Behavior Analyst (License #RBT-19-84076 in NC)

🟢
Initial NPI Registration & Enumeration June 09, 2021

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: 1104493923
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 09, 2021
Last Update: November 20, 2024
Sole Proprietor: Yes

Mailing Address

2919 Breezewood Ave Ste 101

Fayetteville, NC 283035283

Phone: 9104841711

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.